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임상시험 NCT03878121은(는) 건강 자원봉사자에 대해 모집중 상태입니다. 모든 세부 정보를 보려면 임상시험 레이더 카드 뷰와 AI 발견 도구를 확인하거나 여기에서 무엇이든 물어보세요.
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Safety and Immunogenicity of Ad4-HIV Envelope Vaccine Vectors in Healthy Volunteers 1상 300 백신

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임상시험 NCT03878121은(는) 예방을(를) 알아보기 위한 연구입니다. 이 연구는 건강 자원봉사자에 대해 진행되며, 1상 중재연구으로 현재 상태는 모집중입니다. 연구는 2019년 4월 17일에 시작되어 300명의 참여자를 모집하고 있습니다. 미국 국립알레르기전염병연구소이(가) 진행하며, 2026년 10월 15일까지 완료될 예정입니다. ClinicalTrials.gov의 가장 최근 정보는 2025년 12월 15일에 갱신되었습니다.
간단한 개요
Background:

Researchers want see if three new HIV (human immunodeficiency virus) vaccines are safe. Two vaccines are carried by live adenoviruses, which are natural and typically cause cold symptoms or an eye infection. Researchers want to see if all the vaccines help fight HIV and if the adenoviruses are contagious.

Objectives:

To test the safety and effects of three new HIV vaccines.

Eligibility:

Healthy adult...

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상세한 설명
This is a Phase 1 study to evaluate the immunogenicity and safety of adenovirus serotype 4 (Ad4)-based HIV vaccines when administered via the intranasal route to healthy human volunteers. It is hypothesized that the vaccines will be safe for human administration and will elicit immune responses to the HIV components. All study activities will be carried out at the NIH.

Each study vaccinee will receive 5x10^8 viral ...

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공식 제목

Phase I Open-Label Study of Safety and Immunogenicity of AD4-HIV Envelope Vaccine Vectors in Healthy Volunteers

질환명
건강 자원봉사자
기타 연구 식별자
  • 190069
  • 19-I-0069
NCT 번호
실제 연구 시작일
2019-04-17
최신 업데이트 게시
2025-12-15
예상 연구 완료일
2026-10-15
계획된 등록 인원
300
연구종류
중재연구
단계/상
1상
상태
모집중
키워드
Ad4-Env150KN
Ad4-Env145NFL
VRC-HIVRGP096-00-VP (Trimer 4571) with alum
Adenovirus
HIV Vaccine
주요 목적
예방
설계 할당
무작위배정
중재 모델
평행설계
맹검 (마스킹)
없음 (오픈 라벨)
시험군 / 개입
참가자 그룹/시험군개입/치료
실험적A1
Ad4-Env150KN at Day 0 and 2 months followed VRC-HIVRGP096-00-VP at 6 months.
Ad4-Env150KN
10\^8 vp doses of Ad4-Env150KN formulated as a liquid for intranasal administration.
VRC-HIVRGP096-00-VP (Trimer 4571) with alum
500-mcg dose of protein boost vaccine formulated for intramuscular administration.
실험적A2
Ad4-Env145NFL at Day 0 and 2 months followed VRC-HIVRGP096-00-VP at 6 months.
Ad4-Env145NFL
10\^8 vp doses of Ad4-Env145NFL formulated as a liquid for intranasal administration.
VRC-HIVRGP096-00-VP (Trimer 4571) with alum
500-mcg dose of protein boost vaccine formulated for intramuscular administration.
실험적B1 (exploratory)
Previously vaccinated; Ad4-Env150KN at Day 0 and 2 months followed VRC-HIVRGP096-00-VP at 6 months.
Ad4-Env150KN
10\^8 vp doses of Ad4-Env150KN formulated as a liquid for intranasal administration.
VRC-HIVRGP096-00-VP (Trimer 4571) with alum
500-mcg dose of protein boost vaccine formulated for intramuscular administration.
실험적B2 (exploratory)
Previously vaccinated; Ad4-Env145NFL at Day 0 and 2 months followed VRC-HIVRGP096-00-VP at 6 months.
Ad4-Env145NFL
10\^8 vp doses of Ad4-Env145NFL formulated as a liquid for intranasal administration.
VRC-HIVRGP096-00-VP (Trimer 4571) with alum
500-mcg dose of protein boost vaccine formulated for intramuscular administration.
주요결과변수
결과변수측정값 설명시간 범위
Safety and immunogenicity
Laboratory results and Adverse Events
ongoing
참여 도우미
적격성 기준

연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
전체
건강한 참가자 허용

All participants (vaccinees, household contacts, and intimate contacts) must meet all of the following criteria:

  1. Age 18 to 49 years for vaccinees. Age 18 to 65 years for household and intimate contacts.
  2. Negative FDA-approved HIV test.
  3. Available and willing to participate in follow-up visits and tests for the duration of the study.
  4. Willing to have samples stored for future research.

The following inclusion criteria apply to vaccinees and intimate contacts, but not to household contacts:

  1. In good general health without clinically significant medical history.

  2. Assessed as low risk for HIV infection by agreeing to discuss HIV infection risks with the study clinicians, agreeing to HIV risk reduction counseling, and agreeing to avoid behavior associated with high risk of HIV exposure through the last required clinic visit in the protocol schedule.

  3. Negative beta-HCG pregnancy test for females presumed to be of reproductive potential.

  4. Female vaccinees and male intimate contacts must meet one of the following criteria:

    -The female vaccinee has no reproductive potential because of menopause (1 year without menses) or because of a hysterectomy, bilateral oophorectomy, medically-documented ovarian failure, or tubal ligation.

    or

    -The female vaccinee and her male intimate contact(s) agree to be heterosexually inactive or consistently practice contraception at least 21 days prior to each vaccination through 21 days following each vaccination. Acceptable methods of contraception include any of

    the following:

    • condoms, male or female, with a spermicide.
    • diaphragm or cervical cap with spermicide.
    • contraceptive pills, Norplant, or Depo-Provera (and is not on any medications that would interfere with the effectiveness of these contraceptive agents).
    • male partner has previously undergone a vasectomy for which there is documentation.
    • intrauterine device.
  5. Male vaccinees and female intimate contacts must agree to consistently practice abstinence or effective birth control (described above) and for 21 days following each vaccination.

The following inclusion criteria apply only to vaccinees and not to household or intimate contacts:

  1. Willing to receive HIV test results and abide by NIH guidelines for partner notification of positive HIV results.

  2. Physical examination and laboratory results without clinically significant findings within the 8 weeks prior to enrollment.

  3. Willing to avoid other investigational and/or HIV vaccinations, other than the study agent, from screening through the end-of-study visit.

  4. Safety laboratory criteria within 8 weeks prior to enrollment:

    • Hematologic:

      • White blood cell count and lymphocyte count within 25% of both the lower limit and upper limit of normal for the NIH CC (ranges: 2.985-12.55 K/uL for white blood cells and 0.885-4.675 K/uL for lymphocytes).
      • Platelet count of least 150,000/mm^3.
      • Hemoglobin count within 10% of both the lower limit and upper limit of normal for the NIH CC (ranges: Females 10.08-17.27 g/dL, Males 12.33-19.25 g/dL)
    • Renal: Blood urea nitrogen (BUN) <23 mg/dL; creatinine within normal limits for the NIH CC (females: 0.51-0.95 mg/dL; males: 0.67-1.17 mg/dL).

    • Hepatic: Serum direct bilirubin within normal limits for the NIH CC (0.0 to 0.3 mg/dL).

    • Metabolic: Alanine aminotransferase (ALT) <2 times upper limit of normal range (females: <66 U/L; males: <82 U/L).

  5. Additional laboratory criteria:

    • Immunologic: No history of hypogammaglobulinemia.
    • Serologic: Ad4 neutralizing antibody 80% inhibitory dilution <1:100. (This criterion does not apply to participants in Arm B.)
  6. Willing to follow precautions for preventing the spread of adenovirus in the community.

  7. Males must agree not to donate sperm for 21 days following each study vaccination.

A participant (vaccinees, household contacts, and intimate contacts) will be excluded if they have the following:

1. Any condition that, in the investigator's judgement, places the subject at undue risk by participating in the study.

The following exclusion criteria apply to vaccinees and intimate contacts, but not to household contacts:

  1. History of any prior disease or therapy which would affect immune or pulmonary function.

  2. Prior malignancy, except curatively-treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix.

  3. History of radiation therapy or cytotoxic/cancer chemotherapy.

  4. History of uncontrolled diabetes mellitus (DM). Type 2 DM controlled with diet alone (and confirmed by HgbA1c <= 8% within the last 6 months) or a history of isolated gestational diabetes are not exclusionary. Enrollment of individuals with Type 2 DM that is well controlled on hypoglycemic agent(s) may be considered on a case-by-case basis, provided that the HgbA1c is <= 8% within the last 6 months

  5. Immunodeficiency or autoimmune disease.

  6. Acute infection or a recent history (within 6 months) of chronic infection suggestive of immunodeficiency.

  7. Taking any glucocorticoids or other immunosuppressive medications.

  8. Asthma is excluded if the participant has ANY of the following:

    1. Required either oral or parenteral corticosteroids for an exacerbation 2 or more times within the past year, OR
    2. Needed emergency care, urgent care, hospitalization, or intubation for an acute asthma exacerbation within the past year (eg, would NOT exclude individuals with asthma who meet all other criteria but sought urgent/emergent care solely for asthma medication refills or co-existing conditions unrelated to asthma); OR
    3. Uses a short-acting rescue inhaler more than 2 days/week for acute asthma symptoms (i.e., not for preventive treatment prior to athletic activity); OR
    4. Uses medium-to-high-dose inhaled corticosteroids (greater than 250 mcg fluticasone or therapeutic equivalent per day), whether in single-therapy or dual-therapy inhalers (i.e., with a long-acting beta agonist), OR
    5. Uses more than 1 medication for maintenance therapy daily. Inclusion of anyone on a stable dose of more than 1 medication for maintenance therapy daily for greater than 2 years requires OCRPRO Clinical Safety Office approval.
  9. Other chronic respiratory disorders including emphysema, interstitial lung disease, pulmonary hypertension, recurrent pneumonia, or recent or ongoing respiratory tract infection. If a respiratory disorder is transient, the study vaccination may be deferred without excluding the participant.

  10. Female of childbearing potential who is breast-feeding or planning pregnancy during the period from enrollment through 21 days following the last study vaccination.

The following exclusion criteria apply only to vaccinees and not to household or intimate contacts:

  1. Any medical, psychiatric, or social condition, or occupational or other responsibility that, in the judgment of the investigator, would interfere with or serve as a contraindication to receipt of live virus vaccine, protocol adherence, or a participant's ability to give informed consent.

  2. Psychiatric condition that precludes compliance with the protocol; past or present psychoses; past or present bipolar disorder requiring therapy that has not been well controlled on medication for the past two years; disorder requiring lithium; or suicidal ideation occurring within five years prior to enrollment.

  3. Individuals that live in the same house or apartment with any of the following will be excluded:

    1. An individual under 18 years of age.
    2. An elderly individual (>65 years of age).
    3. An immunocompromised or immunosuppressed individual.
    4. An individual with chronic respiratory disease.
    5. A woman who is currently pregnant or breastfeeding or planning a pregnancy during the period of vaccination.
  4. Individuals who provide hands-on care to immunodeficient, unstable, elderly, or children <18 years of age within 21 days following each of the first and second vaccination timepoints.

  5. Receipt of any of the following:

    • Antiviral medications within 30 days prior to vaccination.
    • Blood products within 120 days prior to HIV screening.
    • Immunoglobulin within 60 days prior to HIV screening.
    • Investigational research drugs or any other investigational agent that in the judgement of the Principal Investigator might interact with the study vaccine within 30 days prior to initial study vaccine administration.
    • Allergy treatment with antigen injections within 30 days of study vaccine administration.
  6. Active hepatitis B or C infection (i.e., hepatitis B or C positive serology with the presence of virus antigen or DNA). Ongoing viral replication will be confirmed by a hepatitis B antigen test or hepatitis C viral load.

  7. History of Guillain-Barre syndrome.

  8. Indeterminate HIV Western blot test.

  9. Prior receipt of the Merck Ad5-based HIV vaccine.

National Institute of Allergy and Infectious Diseases (NIAID) logo미국 국립알레르기전염병연구소408개의 진행 중인 임상시험 탐색 가능
연구 대표 연락처
연락처: Mark Connors, M.D., (301) 496-8057, [email protected]
1 1개국에 임상시험 장소

Maryland

National Institutes of Health Clinical Center, Bethesda, Maryland, 20892, United States
VRC Clinic, 연락처, 301-451-8715, [email protected]
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