Full Text View
Tabular View
No Study Results Posted
Related Studies
Safety and Effectiveness of HIV-1 DNA Plasmid Vaccine and HIV-1 Recombinant Adenoviral Vector Vaccine in HIV-uninfected, Circumcised Men and Transgender Women Who Have Sex With Men
This study is currently recruiting participants.
Verified by National Institute of Allergy and Infectious Diseases (NIAID), January 2010
First Received: March 17, 2009   Last Updated: January 27, 2010   History of Changes
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

Resource links provided by NLM:


Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):

Primary Outcome Measures:
  • Ability of VRC DNA/rAd5 vaccine regimen to reduce HIV-1 viral load setpoint compared with placebo [ Time Frame: Average of measurements taken at Weeks 10, 12, 14, 16, and 20 post diagnosis ] [ Designated as safety issue: No ]
  • Differences in safety parameters between vaccine and placebo recipients [ Time Frame: Throughout study ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Effect of the VRC DNA/rAd5 vaccine regimen on the disease course of HIV-1 disease in vaccine recipients compared to placebo recipients who become HIV-infected on-study [ Time Frame: Throughout study ] [ Designated as safety issue: No ]
  • Effect of the VRC DNA/rAd5 vaccine regimen on the rate of HIV-1 acquisition in vaccine recipients compared to placebo recipients [ Time Frame: Throughout study ] [ Designated as safety issue: Yes ]
  • HIV-1 specific immunogenicity of the VRC DNA/rAd5 vaccine regimen [ Time Frame: Throughout study ] [ Designated as safety issue: No ]
  • Immune responses to the Ad5 vector [ Time Frame: Throughout study ] [ Designated as safety issue: No ]
  • Social impact of participation in this trial [ Time Frame: Throughout study ] [ Designated as safety issue: No ]

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

Detailed Description:

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
Criteria

Inclusion Criteria:

  • HIV-1 and -2 negative
  • Good general health
  • Fully circumcised
  • Experienced one or both of the following HIV risk criteria in the 6 months before study entry:

    1. Unprotected anal intercourse with one or more male or male-to-female (MTF) transgender partner(s)
    2. Anal intercourse with two or more male or MTF transgender partners
  • ALT 2.5 or less times the upper limit of normal (ULN)
  • Ad5 nAb titer less than 1:18
  • Have access to a participating study site and are willing to be followed during the study
  • Demonstrate understanding of the study
  • Willing to receive HIV test results
  • Willing to discuss HIV infection risks and amenable to risk reduction counseling
  • Agrees not to enroll in another study of an investigational research agent before unblinding of this study
  • NOTE: MTF transgender volunteers who have undergone gender reassignment surgery (GRS) are eligible to participate if they provide documentation from a health care provider confirming that they were fully circumcised prior to GRS. MTF transgender volunteers who have not undergone GRS are eligible to participate if they meet all enrollment criteria. Receipt of hormonal therapy does not make a transgender volunteer ineligible.

Exclusion Criteria:

  • HIV vaccines in prior HIV vaccine trial. Participants who can provide documentation that they received a placebo in a prior HIV trial may be eligible.
  • Used PEP 3 or more times within 12 months or has used PEP within 60 days prior to first vaccination
  • Used PrEP 6 or more times within 6 months or for 30 consecutive days within 60 days prior to first vaccination
  • Circumcised within 90 days prior to first vaccination or displays evidence that surgical site is not fully healed
  • Immunosuppressive medications within 168 days prior to first study vaccination. Participants who have used corticosteroid nasal sprays for allergic rhinitis, topical corticosteroids for mild, uncomplicated dermatitis, or oral/parenteral corticosteroids for non-chronic conditions are not excluded.
  • Blood products within 90 days prior to first study vaccination
  • Immunoglobulin within 90 days prior to first study vaccination
  • Live attenuated vaccines other than influenza vaccine within 30 days prior to first study vaccination
  • Investigational research agents within 90 days prior to first study vaccination
  • Influenza vaccine or any vaccines that are not live attenuated within 14 days prior to first study vaccination
  • Allergy treatment with antigen injections within 30 days prior to first study vaccination or that are scheduled within 14 days after first vaccination
  • Clinically significant medical condition, abnormal physical exam findings, abnormal laboratory results, or past medical history that may affect current health. More information about this criterion can be found in the protocol.
  • Any medical, psychiatric, or job-related responsibility that would interfere with the study. More information about this criterion can be found in the protocol.
  • Any concern that, in the opinion of the investigator, may interfere with a participant's completion of the post-vaccination symptom log
  • History of serious adverse reactions to vaccinations, including anaphylaxis or allergy to any of the vaccine's components
  • Current anti-tuberculosis prophylaxis or therapy
  • Autoimmune disease
  • Immunodeficiency
  • Bleeding disorder
  • History of malignancy
  • Seizure disorder
  • Asthma other than mild, well-controlled asthma. More information on this criterion can be found in the protocol.
  • Angioedema within the last 3 years if episodes are considered serious or have required medication within the last 2 years prior to study entry
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00865566

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            
Sponsors and Collaborators
HIV Vaccine Trials Network
Investigators
Study Chair: Scott Hammer Columbia University
Study Chair: Magdalena Sobieszczyk Columbia University
Study Chair: Michael Yin Columbia University
  More Information

Additional Information:
Publications:
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

Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):
HIV Seronegativity
HIV Preventive Vaccine
HIV Treatment Vaccine
Adenovirus

Additional relevant MeSH terms:
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

ClinicalTrials.gov processed this record on February 08, 2010