Status:

COMPLETED

Vaccine Treatment for HIV-Infection

Lead Sponsor:

National Institute of Allergy and Infectious Diseases (NIAID)

Conditions:

Healthy

Eligibility:

All Genders

20-37 years

Phase:

PHASE1

Brief Summary

This study will determine the safety and side effects of an experimental adenoviral vector vaccine given to patients who previously received a different HIV vaccine (VRC-HIVDNA016-00-VP) in a prior NI...

Detailed Description

Study Design: This is a Phase I open-label study to examine safety, tolerability and immune response of a multiclade HIV adenoviral vector vaccine as a booster vaccination in uninfected adults. The hy...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • A participant must meet all of the following criteria:
  • Enrolled into VRC 007 no more than 36 weeks prior to VRC 010 enrollment and completed three injections of 4 mg of study vaccine in VRC 007 (04-I-0254) without experiencing a serious adverse event (SAE) that was possibly, probably or definitely related to study vaccine.
  • Available for clinical follow-up for 24 weeks after enrollment into VRC 010.
  • Completion of an Assessment of Understanding prior to enrollment and able to verbalize understanding of all questions answered incorrectly.
  • Able and willing to complete the informed consent process.
  • Willing to receive HIV test results and willing to abide by NIH guidelines for partner notification of positive HIV results.
  • Willing to donate blood for sample storage to be used for future research.
  • Willing to discuss HIV infection risks and amenable to risk reduction counseling.
  • In good general health without clinically significant medical history and satisfactory completion of the screening process.
  • Laboratory Criteria within 28 days prior to enrollment:
  • Hemoglobin greater than or equal to 11.5 g/dL for women; greater than or equal to13.5 g/dL for men;
  • WBC = 3,300-12,000 cells/mm(3);
  • Differential either within institutional normal range or accompanied by site physician approval;
  • Total lymphocyte count greater than or equal to 800 cells/mm(3);
  • Platelets = 125,000 - 550,000/mm(3);
  • ALT (SGPT) less than or equal to 1.25 x upper limit of normal;
  • Serum creatinine less than or equal to 1 x upper limit of normal (less than or equal to 1.3 mg/dL for females; less than or equal to 1.4 mg/dL for males);
  • Normal urinalysis defined as negative glucose, negative or trace protein, and no clinically significant blood in the urine;
  • Negative HIV PCR (i.e., less than the lower limit of detection or less than 50 RNA copies/mL);
  • Negative Hepatitis B surface antigen;
  • Negative anti-HCV (hepatitis C virus antibody) and negative HCV PCR.
  • Female-Specific Criteria:
  • Negative beta-HCG pregnancy test (urine) on day of study enrollment for women presumed to be of reproductive potential.
  • A female participant must meet one of the following criteria:
  • No reproductive potential because of menopause \[one year without menses\] or because of a hysterectomy, bilateral oophorectomy, or tubal ligation,
  • or
  • Participant agrees to be heterosexually inactive at least 21 days prior to enrollment and through Week 24 of the study,
  • or
  • Participant agrees to consistently practice contraception at least 21 days prior to enrollment and through Week 24 of the study by one of the following methods:
  • condoms, male or female, with or without a spermicide;
  • diaphragm or cervical cap with spermicide;
  • intrauterine device;
  • contraceptive pills or patch, Norplant, Depo-Provera or other FDA-approved contraceptive method;
  • male partner has previously undergone a vasectomy for which there is documentation.
  • EXCLUSION CRITERIA:
  • A volunteer will be excluded if one or more of the following conditions apply:
  • Women:
  • Breast-feeding or planning to become pregnant during the 24 weeks of study participation.
  • Volunteer has received any of the following substances:
  • Immunosuppressive or cytotoxic medications or inhaled corticosteroids within the past six months (with the exception of corticosteroid nasal spray for allergic rhinitis or topical corticosteroids for an acute uncomplicated dermatitis).
  • Blood products within 120 days prior to HIV screening.
  • Immunoglobulin within 60 days prior to HIV screening.
  • Live attenuated vaccines within 30 days prior to initial study vaccine administration.
  • Investigational research agents within 30 days prior to study vaccine administration.
  • Medically indicated subunit or killed vaccines, e.g. influenza, pneumococcal, or allergy treatment with antigen injections, within 14 days of study vaccine administration.
  • Current anti-TB prophylaxis or therapy.
  • Volunteer has a history of any of the following clinically significant conditions:
  • Serious adverse reactions to vaccines such as anaphylaxis, hives, respiratory difficulty, angioedema, or abdominal pain.
  • Autoimmune disease or immunodeficiency.
  • Asthma that is unstable or required emergent care, urgent care, hospitalization or intubation during the past two years or that requires the use of oral or intravenous corticosteroids.
  • Diabetes mellitus (type I or II), with the exception of gestational diabetes.
  • History of thyroidectomy or thyroid disease that required medication within the past 12 months.
  • Serious angioedema episodes within the previous 3 years or requiring medication in the previous two years.
  • Hypertension that is not well-controlled by medication or is more than 145/95 at enrollment.
  • Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with IM injections or blood draws.
  • Syphilis infection that is active or a positive serology due to a syphilis infection treated less than six months ago.
  • Malignancy that is active or treated malignancy for which there is not reasonable assurance of sustained cure or malignancy that is likely to recur during the period of the study.
  • Seizure disorder other than: 1) febrile seizures under the age of two, 2) seizures secondary to alcohol withdrawal more than 3 years ago, or 3) a singular seizure not requiring treatment within the last 3 years.
  • Asplenia or any condition resulting in the absence or removal of the spleen.
  • Psychiatric condition that precludes compliance with the protocol; past or present psychoses; past or present bipolar disorder; disorder requiring lithium; or within five years prior to enrollment, history of a suicide plan or attempt.
  • Any medical, psychiatric, social condition, occupational reason or other responsibility that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a volunteer's ability to give informed consent.

Exclusion

    Key Trial Info

    Start Date :

    April 13 2005

    Trial Type :

    INTERVENTIONAL

    End Date :

    January 15 2008

    Estimated Enrollment :

    14 Patients enrolled

    Trial Details

    Trial ID

    NCT00108654

    Start Date

    April 13 2005

    End Date

    January 15 2008

    Last Update

    July 2 2017

    Active Locations (1)

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    1

    National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, United States, 20892