First-In-Human Study of ChAdOx1-HBV & MVA-HBV Vaccines (VTP-300) for Chronic HBV
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
| ClinicalTrials.gov Identifier: NCT04778904 |
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Recruitment Status :
Recruiting
First Posted : March 3, 2021
Last Update Posted : April 7, 2022
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| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Hepatitis B | Biological: ChAdOx1-HBV Biological: MVA-HBV Biological: Nivolumab | Phase 1 Phase 2 |
This is a multi-centre study conducted in 52 participants, who will each be administered 2 vaccine injections (IM) on Day 0 and Day 28 as follows:
Group 1: MVA-HBV + MVA-HBV (now closed) Group 2: ChAdOx1-HBV + MVA-HBV Group 3: ChAdOx1-HBV + MVA-HBV + nivolumab (IV infusion) Group 4: ChAdOx1-HBV + nivolumab + MVA-HBV + nivolumab (now closed)
Participants are randomised to treatment as the groups are initiated with a 1:1:1:1 allocation. Version 6.0 of the study protocol has closed Groups 1 and 4 to further randomisation; recruitment will now be in a 1:1 ratio between Groups 2 and 3 only. A sentinel participant is dosed in Group 1, with further participants in Group 1 only being dosed at least 48h later. Group 2 is initiated following a Day 7 safety assessment of the first 6 participants in Group 1. Groups 3 and 4 are initiated following a Day 7 safety assessment of the first 6 participants in Group 2.
The primary objective of the study is to determine the safety and reactogenicity of the treatment regimens; this will be assessed by analysis of the incidence and severity of (serious) adverse events and any changes in laboratory values and vital signs.
The secondary objectives of the study are the determination of the immunogenicity of the ChAdOx1-HBV and MVA-HBV vaccines and the impact of PD-blockade, as well as the effect on HBV markers; these are assessed by measurements of the magnitude and avidity of HBV-specific CD4+ and CD8+ T cells and the magnitude of HBV markers.
Following first vaccination, participants remain in the study for 9 months and attend clinic visits for vaccination and assessments on Days 0, 7, 28, 35 and Months, 3, 6 and 9.
| Study Type : | Interventional (Clinical Trial) |
| Estimated Enrollment : | 52 participants |
| Allocation: | Randomized |
| Intervention Model: | Sequential Assignment |
| Intervention Model Description: | Participants are randomised to the four treatment groups, as the groups are initiated. Allocation to the groups is 1:1:1:1. Version 6.0 of the study protocol has closed Groups 1 and 4 to further randomisation; recruitment will now be in a 1:1 ratio between Groups 2 and 3 only. |
| Masking: | None (Open Label) |
| Primary Purpose: | Treatment |
| Official Title: | A Phase 1b/2a, Open-Label Study to Evaluate the Safety, Tolerability and Immunogenicity of VTP-300 With or Without Nivolumab in Participants With Chronic Hepatitis B Infection |
| Actual Study Start Date : | December 22, 2020 |
| Estimated Primary Completion Date : | October 26, 2022 |
| Estimated Study Completion Date : | December 7, 2022 |
| Arm | Intervention/treatment |
|---|---|
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Experimental: Group 1 (MVA-HBV)
Day 0: MVA-HBV 1 x 10^8 pfu IM injection Day 28: MVA-HBV 1 x 10^8 pfu IM injection
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Biological: MVA-HBV
Modified Vaccinia Ankara-vectored Hepatitis B virus vaccine |
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Experimental: Group 2 (ChAdOx1-HBV, MVA-HBV)
Day 0: ChAdOx1-HBV 1 x 2.5 10^10 vp IM injection Day 28: MVA-HBV 1 x 10^8 pfu IM injection
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Biological: ChAdOx1-HBV
Chimpanzee Adenovirus Oxford 1-vectored Hepatitis B virus vaccine Biological: MVA-HBV Modified Vaccinia Ankara-vectored Hepatitis B virus vaccine |
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Experimental: Group 3 (ChAdOx1-HBV, MVA-HBV and nivolumab)
Day 0: ChAdOx1-HBV 1 x 2.5 10^10 vp IM injection Day 28: MVA-HBV 1 x 10^8 pfu IM injection + nivolumab 0.3 mg/kg IV infusion
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Biological: ChAdOx1-HBV
Chimpanzee Adenovirus Oxford 1-vectored Hepatitis B virus vaccine Biological: MVA-HBV Modified Vaccinia Ankara-vectored Hepatitis B virus vaccine Biological: Nivolumab Human immunoglobulin G4 monoclonal antibody
Other Name: Opdivo 10mg/ml concentrate for solution for infusion |
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Experimental: Group 4 (ChAdOx1-HBV and nivolumab, MVA-HBV and nivolumab)
Day 0: ChAdOx1-HBV 1 x 2.5 10^10 vp IM injection + nivolumab 0.3 mg/kg IV infusion Day 28: MVA-HBV 1 x 10^8 pfu IM injection + nivolumab 0.3 mg/kg IV infusion
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Biological: ChAdOx1-HBV
Chimpanzee Adenovirus Oxford 1-vectored Hepatitis B virus vaccine Biological: MVA-HBV Modified Vaccinia Ankara-vectored Hepatitis B virus vaccine Biological: Nivolumab Human immunoglobulin G4 monoclonal antibody
Other Name: Opdivo 10mg/ml concentrate for solution for infusion |
- The incidence of participants with Treatment-Emergent Adverse Events (TEAEs) and ≥Grade 3 study vaccine-related adverse events following study vaccination [ Time Frame: From each study vaccination for the following 27 days ]
The incidence of TEAEs and and ≥Grade 3 study vaccine-related adverse events will be based on the number and percentage of participants with events and number of events.
TEAEs are defined as all adverse events occurring after study vaccine administration; they will be further categorised by Seriousness, Severity (i.e. ≥ Grade 3) and Causality.
Seriousness of the TEAEs is assessed according to the published FDA criteria (2016).
Severity of the TEAEs will be graded according to the FDA Guidance for Industry: Toxicity Grading Scale for Healthy Adults and Volunteers Enrolled in Preventative Vaccine Trials, 2007 (70 FR 22664).
- The incidence of participants with Treatment-Emergent Adverse Events (TEAEs) and ≥Grade 3 study vaccine-related adverse events following study vaccination with nivolumab [ Time Frame: From each study vaccination with nivolumab for the following 27 days ]
The incidence of TEAEs and ≥Grade 3 study vaccine-related adverse events will be based on the number and percentage of participants with events and number of events.
TEAEs are defined as all adverse events occurring after study vaccine administration with nivolumab (Groups 3 and 4); they are further categorised by Seriousness, Severity (i.e. ≥ Grade 3) according to FDA Guidance 70 FR 22664 and Causality.
- The incidence of participants with Adverse Events of Special Interest (AESIs) [ Time Frame: From study admission (the signature of informed consent) to the end of the study (Month 9) ]
The incidence of AESIs will be based on the number and percentage of participants with events and number of events.
AESIs specific to this study include pneumonitis, grade 3 or 4 diarrhoea, diabetes, thyroid diseases, colitis, nephritis, immune-related endocrinopathies, myocarditis, immune-related skin conditions, or other unspecified immune-related adverse reactions.
- The incidence of participants with Treatment-Emergent Adverse Events (TEAEs) within each study group [ Time Frame: From each study vaccination for the following 27 days ]The incidence of TEAEs will be based on the number and proportion of participants with events and number of events and will be calculated for each of the four study groups.
- Incidence of participants with potentially clinically significant laboratory signs within each treatment group as assessed by the Investigator [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
The incidence of participants will be based upon the number and proportion of patients in each treatment group with clinically significant laboratory signs (haematology and biochemistry, including liver function tests) as assessed by the investigator.
All laboratory signs will be reported in SI units. If any laboratory sign is considered to be clinically significant i.e. outside laboratory normal reference range, the severity of this sign will be assessed according to the FDA Guidance for Industry 70 FR 22664. Absolute change, change from baseline and worst change for each participant will be calculated.
The incidence of participants with treatment-emergent, clinically significant laboratory signs and laboratory signs of Grade 3-4 severity will be calculated for each treatment group at each time point.
- Incidence of participants with potentially clinically significant vital signs within each treatment group as assessed by the Investigator [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
The incidence of participants will be based upon the number and proportion of patients in each treatment group with clinically significant vital signs.
Vital signs will be considered to be potentially clinically significant if they respectively fall below or above the relevant upper and lower limits.
The incidence of participants with treatment-emergent, clinically significant vital signs will be calculated for each treatment group at each time point.
- Number of participants with worst changes from baseline in laboratory hematology parameters [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
Hematology laboratory values will be evaluated according to the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA).
For all hematology parameters, changes from baseline of at least two severity grades will be calculated for each timepoint at which the laboratory test is conducted throughout the study.
The number of participants showing shifts of at least two severity grades (as worst change from baseline for each hematology parameter) will be presented within shift tables.
- Number of participants with worst changes from baseline in laboratory biochemistry parameters [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
Biochemistry laboratory values will be evaluated according to the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA).
For all biochemistry parameters, changes from baseline of at least two severity grades will be calculated for each timepoint at which the laboratory test is conducted throughout the study.
The number of participants showing shifts of at least two severity grades (as worst change from baseline for each biochemistry parameter) will be presented within shift tables.
- Number of participants with worst changes from baseline in laboratory urinalysis parameters [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
Urinalysis laboratory values will be evaluated according to the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA).
For all urinalysis parameters, changes from baseline of at least two severity grades will be calculated for each timepoint at which the laboratory test is conducted throughout the study.
The number of participants showing shifts of at least two severity grades (as worst change from baseline for each urinalysis parameter) will be presented within shift tables.
- Number of participants with worst changes from baseline in vital signs parameters (heart rate, systolic blood pressure, diastolic blood pressure and temperature) [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
Worst change is defined as the lowest and highest post-baseline values for heart rate (bradycardia, tachycardia) and systolic blood pressure (hypotension, hypertension), and as the highest post-baseline values for diastolic blood pressure (hypertension) and temperature (fever).
For all vital signs measurements, changes from baseline will be calculated for each timepoint at which the vital sign measurement is conducted throughout the study.
The number of participants showing worst change from baseline for the vital signs parameters overall will be presented within shift tables.
- Magnitude and avidity of HBV-specific CD4+ and magnitude of CD 8+ T cells induced by each treatment regimen [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
This will be determined from samples of Peripheral Blood Mononuclear Cells (PBMCs) using a multi-parameter index (CD4+ magnitude; CD4+ avidity; CD8+ magnitude) derived by the laboratory.
The index will be calculated by the laboratory at each timepoint for each treatment group and and change from Baseline at all time points will be presented.
- Percentage of Participants with Reduction in HBsAg titre [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]This will be determined from samples of PBMCs. The percentage of participants with a HBsAg loss >0.5 log10 and >1.0 log10 will be determined for each vaccine and for each treatment group.
- Percentage of Participants with HBsAg and HBeAg Loss [ Time Frame: Baseline, Day7, Day28, Day35, Month 3, Month 6, Month 9 ]
This will be determined from samples of PBMCs. The proportion of participants infected with HBsAg-positive virus at baseline who develop Hepatitis B surface antigen antibody will be determined for each vaccine and for each treatment group.
The proportion of participants infected with HBeAg-positive virus at baseline who develop Hepatitis B e-antigen antibody will be determined for each vaccine and for each treatment group.
- Percentage of Participants with HBsAg Seroconversion [ Time Frame: Baseline and Month 9 ]
This will be determined from samples of PBMCs. The proportion of participants infected with HBsAg-positive virus at baseline who become HBsAg negative will be determined for each vaccine and for each treatment group.
The proportion of participants infected with HBeAg-positive virus at baseline who become HBeAg negative will be determined for each vaccine and for each treatment group.
The times to seroconversion will be calculated in months.
- Percentage of Participants with HBeAg Seroconversion [ Time Frame: Baseline and Month 9 ]
This will be determined from samples of PBMCs. The proportion of participants infected with HBeAg-positive virus at baseline who become HBeAg negative will be determined for each vaccine and for each treatment group.
The times to seroconversion will be calculated in months.
- Percentage of Participants with Reduction of Hepatitis B DNA [ Time Frame: Baseline, Day 35, Month 3 and Month 9 ]Quantitative DNA analysis will be conducted on samples of PBMCs. Changes from baseline will be calculated for each vaccine and for each treatment group.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
| Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult males or females aged ≥18 to ≤65 years at screening (according to country/local regulations)
- BMI ≤32kg/m2
- Able to provide informed consent indicating they understand the purpose of, and procedures required, for the study and are willing to participate
- If female, willing not to become pregnant up to 8 weeks after last dose of study vaccine and up to 5 months after the last dose of nivolumab
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If female: Not pregnant or breast feeding and one of the following:
- Of non-childbearing potential (i.e. women who have had a hysterectomy or tubal ligation or are post menopausal, as defined by no menses in ≥1 year and without an alternative medical cause)
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Of childbearing potential but agrees to practice highly effective contraception for 4 weeks prior to study vaccine and 8 weeks after study vaccine and 5 months after the last dose of nivolumab. Highly effective methods of contraception include one or more of the following:
(i) Male partner who is sterile (medically effective vasectomy) prior to the female participant's entry into the study and is the sole sexual partner for the female participant
(ii) Combined (oestrogen and progestogen-containing) hormonal contraception associated with inhibition of ovulation:
- oral
- intravaginal
- transdermal
(iii) Progestogen-only hormonal contraception associated with inhibition of ovulation:
- oral
- injectable
- implantable
(iv) An intrauterine device
(v) Bilateral tubal occlusion
- Documented evidence of chronic HBV infection (e.g. HBsAg positive ≥6 months with detectable HBsAg levels at screening)
- Receipt of only either entecavir, tenofovir (tenofovir alafenamide fumarate or tenofovir disoproxil fumarate), or besifovir for at least 12 months before screening
- Virally suppressed (HBV-DNA viral load < 40 IU/mL for ≥ 1 year)
- HBsAg levels <4000 IU/mL
Exclusion Criteria:
- Presence of any significant acute or chronic, uncontrolled medical/psychiatric illness
- Hepatitis C virus (HCV) antibody positive.
- HIV antibody positive
- Co-infection with hepatitis D virus
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Documented cirrhosis or advanced fibrosis indicated by a liver biopsy within 6 months prior to screening (Metavir activity grade A3 and stages F3 and F4; Ishak stages 4-6).
In the absence of a documented liver biopsy, either 1 of the following (not both):
- Screening Fibroscan with a result > 9 kilopascals (kPa) (or the equivalent) within ≤ 6 months of screening, OR
- Screening FibroTest >0.48 and aspartate aminotransferase (AST) to platelet ratio index (APRI) of >1.
- ALT >3 x upper limit of normal (ULN), international normalized ratio (INR) >1.5 unless the participant was stable on an anticoagulant regimen affecting INR, albumin <3.5 g/dL, direct bilirubin >1.5 x ULN, platelet count < 100,000/microlitre.
- A history of liver decompensation (e.g. ascites, encephalopathy or variceal haemorrhage)
- Prior hepatocellular carcinoma
- Chronic liver disease of a non-HBV aetiology
- History or evidence of autoimmune disease or known immunodeficiency of any cause
- Presence of active infection
- Evidence of interstitial lung disease, active pneumonitis, myocarditis, or a history of myocarditis
- Past history of thyroid disorder or abnormal thyroid function at screening that is still active and uncontrolled
- Prolonged therapy with immunomodulators (e.g. corticosteroids such as prednisone > 10 mg/day) or biologics (e.g. monoclonal antibodies, IFN) within 3 months of screening
- Receipt of immunoglobulin or other blood products within 3 months prior to enrolment
- Receipt of any investigational drug or vaccine within 3 months prior to screening
- Receipt of any adenoviral-based vaccine within 3 months prior to administration of ChAdOx1-HBV on Day 0, or plan to receive an adenoviral-based vaccine within 3 months after Day 0
- Receipt of any live vaccines within 30 days prior to screening
- Receipt of any inactivated vaccines within 14 days prior to screening,
- History of severe hypersensitivity or anaphylactic reactions likely to be exacerbated by any component of the vaccine or nivolumab
- Malignancy within 5 years prior to screening with the exception of specific cancers that are cured by surgical resection (e.g. except basal cell skin carcinoma of the skin and cervical carcinoma). Participants under evaluation for possible malignancy are not eligible
- Current alcohol or substance abuse judged by the Investigator to potentially interfere with participant safety and compliance
- Significant cardiac disease or unstable uncontrolled cardiac disease
- Any laboratory test which is abnormal, and which is deemed by the Investigator to be clinically significant
- Cytotoxic agents, other anti HBV or traditional herbal medicines which, in the opinion of the Investigator, may have activity against HBV within the previous 6 months prior to randomization
- Any other finding that, in the opinion of the Investigator, deems the participant unsuitable for the study
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04778904
| Contact: Tom Evans, MD | +44 01865 818808 | enquiries@vaccitech.co.uk |
| Korea, Republic of | |
| Pusan National University Hospital | Recruiting |
| Busan, Korea, Republic of, 492421 | |
| Contact: Jeong Heo, MD +82-51-240-7078 dusrn121233@gmail.com | |
| Contact: Seung Hee Park dusrn121233@gmail.com | |
| Kyungpook National University Hospital | Recruiting |
| Daegu, Korea, Republic of, 41944 | |
| Contact: Won Young Tak, MD +82-53-200-6943 sukyung0830@hanmail.net | |
| Contact: Choi Sukyung sukyung0830@hanmail.net | |
| Keimyung University Dongsan Hospital | Recruiting |
| Daegu, Korea, Republic of, 42601 | |
| Contact: Byoung Kuk Jang, MD +82-53-258-6680 llllbm1010@gmail.com | |
| Contact: Seung Hyo Woo llllbm1010@gmail.com | |
| Yonsei University College of Medicine | Recruiting |
| Seoul, Korea, Republic of, 03722 | |
| Contact: Sang Hoon Ahn, MD +82-2-2228-5633 NAV152@yuhs.ac | |
| Contact: SeoHyeon Choi NAV152@yuhs.ac | |
| Asan Medical Centre | Recruiting |
| Seoul, Korea, Republic of, 05505 | |
| Contact: Young-Suk Lim, MD +82-2-3210-7198 jhlee22@amc.seoul.kr | |
| Contact: Jaehee Lee jhlee22@amc.seoul.kr | |
| The Catholic University of Korea Seoul Saint Mary's Hospital | Recruiting |
| Seoul, Korea, Republic of, 06591 | |
| Contact: Seung Kew Yoon, MD +82-2-2258-2077 soon@catholic.ac.kr | |
| Contact: Young Soon Kim soon@catholic.ac.kr | |
| Taiwan | |
| Buddhist Tzu Chi Medical Foundation | Recruiting |
| Dalin, Chia-Yi County, Taiwan, 62247 | |
| Contact: Kuo-Chih Tseng, MD 886-5-2648000 ext 3240 yitinghe0912@gmail.com | |
| Contact: Yi-Ting He yitinghe0912@gmail.com | |
| E-Da Hospital | Recruiting |
| Kaohsiung City, Yan-chao District, Taiwan, 82445 | |
| Contact: Gin-Ho Lo, MD 886-7-615-0011 ext 5007 ed107482@edah.org.tw | |
| Contact: Hui-Chen Lin ed107482@edah.org.tw | |
| Changhua Christian Hospital | Withdrawn |
| Changhua City, Taiwan, 50006 | |
| Chia-Yi Christian Hospital | Recruiting |
| Chiayi City, Taiwan, 60002 | |
| Contact: Chi-Yi Chen, MD +86-5-276-5041 ext 2535 cych01290@gmail.com | |
| Contact: Yi-Lin Lu cych01290@gmail.com | |
| Hualien Tzu Chi Hospital | Withdrawn |
| Hualien City, Taiwan, 970 | |
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Recruiting |
| Kaohsiung, Taiwan, 807 | |
| Contact: Wan-Long Chuang, MD +886-916-892-601 s0932841038@gmail.com | |
| Contact: Ya-Wen Liu s0932841038@gmail.com | |
| United Kingdom | |
| Nottingham University Hospitals NHS Trust | Recruiting |
| Nottingham, Notts, United Kingdom, NG7 2UH | |
| Contact: Stephen Ryder +44-115-924-9924 ext 83711 | |
| Contact: Matthew Barnes matthew.barnes@nuh.nhs.uk | |
| King's College Hospital NHS Foundation Trust | Recruiting |
| London, United Kingdom, SE5 9RS | |
| Contact: Kaushik Agarwal, MD +44-20-3299-7622 | |
| Contact: Adam Hossen adam.hossen-mamode@nhs.net | |
| Responsible Party: | Vaccitech (UK) Limited |
| ClinicalTrials.gov Identifier: | NCT04778904 |
| Other Study ID Numbers: |
HBV-002 2020-000190-25 ( EudraCT Number ) |
| First Posted: | March 3, 2021 Key Record Dates |
| Last Update Posted: | April 7, 2022 |
| Last Verified: | March 2022 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
| Studies a U.S. FDA-regulated Drug Product: | No |
| Studies a U.S. FDA-regulated Device Product: | No |
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Hepatitis B Hepatitis Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Infections Blood-Borne Infections |
Communicable Diseases Hepadnaviridae Infections DNA Virus Infections Nivolumab Antineoplastic Agents, Immunological Antineoplastic Agents Immune Checkpoint Inhibitors Molecular Mechanisms of Pharmacological Action |