Status:

COMPLETED

Safety Study of an Additional MVA Vaccine in Volunteers Who Received 3 DNA Vaccines Followed by 2 MVA Vaccines

Lead Sponsor:

Muhimbili University of Health and Allied Sciences

Collaborating Sponsors:

Karolinska Institutet

Swedish Institute for Infectious Disease Control

Conditions:

Healthy Volunteers

Eligibility:

All Genders

18-45 years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of the study is to determine the safety and immunogenecity of a third MVA in the HIVIS 03 volunteers who have received 3 HIVIS DNA vaccines followed by boosting with 2 MVA vaccines. The i...

Eligibility Criteria

Inclusion

  • Have completed the HIVIS03/TaMoVac01 WP1 protocol and received the active vaccine
  • Willing to undergo counseling and HIV testing
  • Are not infected by HIV infection as indicated by a negative PCR reaction against HIV.
  • Able to give informed consent
  • Resident in Dar es Salaam, and willing to remain so for the duration of the study
  • At low risk of HIV infection, defined as the absence of an identifiable risk factor/ behavior:
  • sexual partner with HIV
  • sexual partner with unknown HIV serostatus who is also unwilling to use protective condoms consistently in all sexual relations
  • sexual partner is known to be at high risk for HIV
  • more than one sexual partner in the last 6 months.
  • history of being an alcoholic \[as medically defined or more than 35 units /week\]
  • History of STI within past 6 months.
  • Verbal assurances that adequate birth control measures are used not to conceive/father a child during the study and up to 4 months after the 3rd MVA vaccine injection
  • Have a negative urinary pregnancy test for females
  • ECG findings that neither pose a risk for the vaccination nor preclude evaluation of peri/myocarditis.
  • Be willing to practice safe sex for the duration of the study to avoid sexually transmitted infections including HIV.
  • Good health as determined by medical history, physical examination, clinical judgment and by key laboratory parameters
  • Reference ranges will be in accordance with data generated at MUHAS for hematology values, and biochemical parameters. Exclusion by presence of Diabetes mellitus will be based on the WHO cut-off value of a Fasting Blood Glucose \>7.8 mmol/l
  • No grade 1 or higher routine laboratory parameters (see section on appendix 3 DAIDS chart for Definitions). Hence lab parameters have to be as follows:
  • Hb \>10.5g/dl
  • White blood cell count \>1,300/mm3
  • Lymphocytes \>1.0/ mm3
  • Platelets \>120,000/ mm3
  • CD4 \>400cells/ mm3
  • Random Blood Glucose 2.5-7.0 mmol/L; if elevated, then a Fasting Blood Glucose \<7.8 mmol/l
  • Bilirubin \<1.25 x uln
  • ALT \<1.25 x uln
  • Creatinine \<1.25 x uln
  • Urine dipstick for protein and blood: negative or trace. (If either is ≥ 1+, obtain complete urinalysis (UA). If microscopic UA confirms evidence of hematuria or if proteinuria ≥ 1+, the volunteer is ineligible).

Exclusion

  • Active tuberculosis or other systemic infectious process elicited by review of systems, physical examination and laboratory detection. Such as detection of Hepatitis B surface antigen, or active syphilis.
  • Have a history of immunodeficiency, chronic illness requiring continuous or frequent medical intervention
  • Autoimmune disease by history and physical examination.
  • Severe eczema
  • Have history of psychiatric, medical and/or substance abuse problems during the past 6 months that the investigator believes would adversely affect the volunteer's ability to participate in the trial.
  • History of grand-mal epilepsy, or currently taking anti-epileptics
  • Have received blood or blood products or immunoglobulins in the past 3 months.
  • Are receiving immunosuppressive therapy such as systemic corticosteroids or cancer chemotherapy.
  • Have used experimental therapeutic agents within 30 days of study entry.
  • Have received any live, attenuated vaccine within 60 days of study entry. {NOTE: Medically indicated subunit or killed vaccines (e.g., Hepatitis A or Hepatitis B) are not exclusionary but should be given at least 2 weeks before or after HIV immunization to avoid potential confusion of adverse reactions}.
  • History of severe local or general reaction to vaccination defined as:
  • Local: Extensive, indurated redness and swelling involving most of the major circumference of the arm, not resolving within 72 hours
  • General: Fever \>= 39.5 0C within 48 hours; anaphylaxis; bronchospasm; laryngeal oedema; collapse; convulsions or encephalopathy within 72 hours
  • Are lactating mothers
  • Are study site employees who are involved in the protocol and may have direct access to the immunogenicity results
  • Unlikely to comply with protocol as judged by the principal investigator or her designate.

Key Trial Info

Start Date :

March 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2012

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT01461447

Start Date

March 1 2012

End Date

May 1 2012

Last Update

May 24 2012

Active Locations (1)

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1

Muhimbili University of Health and Allied Sciences

Dar es Salaam, Tanzania