VIR-1111: A Prototype Human CMV-based Vaccine for Human Immunodeficiency Virus (HIV) in Healthy Volunteers

• ClinicalTrials.gov Identifier: NCT04725877
• Recruitment Status: Completed
• First Posted: January 27, 2021
• Last Update Posted: February 27, 2023
• Sponsor: Vir Biotechnology, Inc.
• Collaborator: Bill and Melinda Gates Foundation
• Information provided by (Responsible Party): Vir Biotechnology, Inc.

Study Description

Brief Summary:

This is a Phase 1a, first in human study in which healthy adult participants who are considered to be at low-risk for HIV infection and are seropositive for cytomegalovirus (CMV) will receive two doses of VIR-1111 or placebo. These participants will be assessed for safety, reactogenicity, tolerability and immunogenicity. There is an optional long-term follow-up study that would lengthen study participation for up to 3 years post-first dose.

Condition or disease	Intervention/treatment	Phase
HIV I Infection	Biological: VIR-1111; Drug: Placebo	Phase 1

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 27 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
• Primary Purpose: Prevention
• Official Title: A Phase 1a, Randomized, Placebo-Controlled Study to Evaluate the Safety and Immunogenicity of a Prototype Human CMV-based Vaccine for Human Immunodeficiency Virus (HIV) in Healthy Volunteers
• Actual Study Start Date: December 28, 2020
• Actual Primary Completion Date: December 5, 2022
• Actual Study Completion Date: December 5, 2022

Arms and Interventions

Arm	Intervention/treatment
Experimental: VIR-1111	Biological: VIR-1111; VIR-1111 is administered as a 1 mL subcutaneous injection in the deltoid area of the upper arm on Day 1 and Day 57.
Placebo Comparator: Placebo	Drug: Placebo; A placebo (Tris NaCl Sucrose formulation buffer) given by subcutaneous injection.

Outcome Measures

Primary Outcome Measures :

1. Number of participants with any treatment-emergent adverse events (AEs) [ Time Frame: Day 1 through 36 weeks ]
   A treatment-emergent AE is any AE with an onset date on or after the investigational product start date and no later than 36 weeks after permanent discontinuation of the investigational product.
2. Number of participants with any serious AEs (SAEs) [ Time Frame: Day 1 through 36 weeks ]
   An SAE is any life-threatening event or one that results in hospitalization, significant disability/incapacity, death or congenital anomaly/birth defect.
3. Number of participants with any local site reactogenicity event after first dose [ Time Frame: Day 1 through 14 days after first dose ]
   Signs and symptoms will be captured at the injection site (e.g., pain/tenderness, swelling, redness and induration) through self-assessment via participant diaries and in-person clinical assessments.
4. Number of participants with any local site reactogenicity event after second dose [ Time Frame: Day 1 through 14 days after second dose ]
   Signs and symptoms will be captured at the injection site (e.g., pain/tenderness, swelling, redness and induration) through self-assessment via participant diaries and in-person clinical assessments.
5. Number of participants with any systemic reactogenicity event after first dose [ Time Frame: Day 1 through 14 days after first dose ]
   Systemic signs and symptoms (fever, headache, fatigue, arthralgia, myalgia, malaise, nausea, vomiting or chills) through self-assessment via participant diaries and in-person clinical assessments.
6. Number of participants with any systemic reactogenicity event after second dose [ Time Frame: Day 1 through 14 days after second dose ]
   Systemic signs and symptoms (fever, headache, fatigue, arthralgia, myalgia, malaise, nausea, vomiting or chills) through self-assessment via participant diaries and in-person clinical assessments.
7. Number of participants with any treatment-emergent clinical laboratory abnormalities (chemistry, hematology and liver function tests) [ Time Frame: Day 1 through 36 weeks ]
   A treatment-emergent clinical laboratory abnormality is a clinical laboratory value that increases at least 1 toxicity grade from baseline at any postbaseline timepoint up to 30 days after permanent discontinuation of study drug. Clinical laboratory abnormalities are graded using DAIDS Table for Grading and Severity of Adult and Pediatric Events, Corrected Version 2.1, July 2017.
8. Number of participants with CMV vector viremia (blood) [ Time Frame: Day 1 through 36 weeks ]
   Quantitative polymerase chain reaction (qPCR) for CMV will be performed on participant blood samples collected throughout the study. Positive samples will undergo follow-up confirmatory PCR testing to differentiate wild-type CMV from CMV vaccine vector sequences.
9. Number of participants with CMV vector shedding (urine and saliva) [ Time Frame: Day 1 through 36 weeks ]
   Quantitative polymerase chain reaction (qPCR) for CMV will be performed on both saliva and urine samples collected from participants throughout the study to monitor for viral shedding. Positive samples will undergo follow-up confirmatory PCR testing to differentiate wild-type CMV from CMV vaccine vector sequences.

Secondary Outcome Measures :

1. Frequency of CMV-specific CD8 T cells via peptide stimulation, intracellular cytokine staining and flow cytometry to detect IL-2 AND/OR IFNg AND/OR TNFa [ Time Frame: 0-36 weeks ]
2. Frequency of CMV-specific CD4 T cells via peptide stimulation, intracellular cytokine staining and flow cytometry to detect IL-2 AND/OR IFNg AND/OR CD154 [ Time Frame: 0-36 weeks ]
3. Frequency of HIV-1 Clade A Gag-specific CD4 T cells via peptide stimulation, intracellular cytokine staining and flow cytometry to detect IL-2 AND/OR IFNg AND/OR TNFa AND/OR CD154 [ Time Frame: 0-36 weeks ]
4. Frequency of HIV-1 Clade A Gag-specific CD8 T cells T cells via peptide stimulation, intracellular cytokine staining and flow cytometry to detect IL-2 AND/OR IFNg AND/OR TNFa [ Time Frame: 0-36 weeks ]
5. Memory phenotype of CMV-specific CD4 T cells via flow cytometry analysis of CD45RA, CCR7, CD27, CD28 AND/OR CD95. [ Time Frame: 0-36 weeks ]
6. Memory phenotype of CMV-specific CD8 T cells via flow cytometry analysis of CD45RA, CCR7, CD27, CD28 AND/OR CD95 [ Time Frame: 0-36 weeks ]
7. Memory phenotype of HIV-1 Clade A Gag-specific CD4 T cells via flow cytometry analysis of CD45RA, CCR7, CD27, CD28 AND/OR CD95 [ Time Frame: 0-36 weeks ]
8. Memory phenotype of HIV-1 Clade A Gag-specific CD8 T cells via flow cytometry analysis of CD45RA, CCR7, CD27, CD28 AND/OR CD95 [ Time Frame: 0-36 weeks ]
9. Binding titers of CMV-specific IgG antibodies [ Time Frame: 0-36 weeks ]
10. Binding titers of HIV Clade A Gag-specific IgG antibodies [ Time Frame: 0-36 weeks ]

Eligibility Criteria

• Ages Eligible for Study: 18 Years to 50 Years (Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

• Healthy males or healthy females of non-child-bearing potential between the ages of 18 to 50 at the time of screening
• Positive CMV serostatus
• Assessed by clinic staff as being low risk for HIV infection and committed to maintaining behavior consistent with low risk of HIV exposure through the last protocol visit
• Willing to use condoms during intercourse through Week 36 or the end of the study
• Willing to undergo HIV testing, risk reduction counseling, and receive HIV test results
• Willing to comply with the protocol requirements regarding donation of blood, sperm or other tissues
• In the opinion of the Investigator, generally in good health as determined from medical history and no clinically significant findings from physical examinations, vital signs, and laboratory values

Exclusion Criteria:

• Live in a home with children under the age of 6
• Routine provision of child care to children under the age of 6
• Have close contact with immunocompromised individuals
• Have close contact with pregnant women or a partner planning to become pregnant during the course of the study
• Health care provider who routinely comes into contact with immunosuppressed patients or pregnant women
• Participant is immunocompromised
• Participant has an autoimmune disorder
• Positive HIV test at the time of study screening
• Receipt of another investigational HIV or CMV vaccine candidate

Contacts and Locations

Locations

United States, Florida

Investigative Site

Miami, Florida, United States, 33122

United States, Washington

Investigative Site

Seattle, Washington, United States, 98104

United States, Wisconsin

Investigative Site

Madison, Wisconsin, United States, 53704

Sponsors and Collaborators

Vir Biotechnology, Inc.

Bill and Melinda Gates Foundation

More Information

• Responsible Party: Vir Biotechnology, Inc.
• ClinicalTrials.gov Identifier: NCT04725877
• Other Study ID Numbers: VIR-1111-2001
• First Posted: January 27, 2021
• Last Update Posted: February 27, 2023
• Last Verified: February 2023

• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Vir Biotechnology, Inc.:

HIV; Vaccine; CMV; Cytomegalovirus

Additional relevant MeSH terms:

Acquired Immunodeficiency Syndrome; HIV Infections; Immunologic Deficiency Syndromes; Immune System Diseases; Blood-Borne Infections; Communicable Diseases; Infections; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Lentivirus Infections; Retroviridae Infections; RNA Virus Infections; Virus Diseases; Slow Virus Diseases; Genital Diseases; Urogenital Diseases