Safety of an HIV Vaccine (AVX101) in HIV Uninfected Volunteers in the United States and South Africa
A Phase I Safety and Immunogenicity Trial of an Alphavirus Replicon HIV Subtype C Gag Vaccine (AVX101, Alphavax, Inc.) in Healthy HIV-1 Uninfected Adult Volunteers
1 other identifier
interventional
48
2 countries
7
Brief Summary
The purpose of this study is to see if different doses of an experimental HIV vaccine are safe and to study how the immune system responds to the vaccine. The vaccine will be tested in healthy, HIV uninfected volunteers. AVX101 contains only one of the many substances that HIV needs to make more copies of itself; therefore, the vaccine cannot cause HIV or AIDS.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 hiv-infections
Started Jul 2003
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2003
CompletedFirst Submitted
Initial submission to the registry
July 7, 2003
CompletedFirst Posted
Study publicly available on registry
July 8, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2005
CompletedJuly 2, 2012
June 1, 2012
2 years
July 7, 2003
June 27, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Grade IV adverse events
The sample size at each vaccine dose level was selected such that the stopping rule for not escalating the dose (2 or more vaccine-related Grade IV adverse experiences) would be met with high probability if the true toxicity rate was above 15-20%, and such that dose escalation would occur with high probability if the true toxicity rate was less than 5%.
1 year
Secondary Outcomes (7)
Local and systemic adverse events
7 days after each dose
Binding antibodies by ELISA
1 year
Chromium release CTL assay
3 months
IFN-gamma ELISpot assay
3 months
Antibodies to VEE virus
1 year
- +2 more secondary outcomes
Study Arms (3)
1 x 10^4 IU dose
EXPERIMENTALVaccine dose of 1 x 10\^4 IU per injection
1 x 10^5 IU dose
EXPERIMENTALVaccine dose of 1 x 10\^5 IU per injection
Placebo
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- HIV negative
- Willing to receive HIV test results
- Good general health
- Acceptable methods of contraception for females of reproductive potential
- Hepatitis B surface antigen negative
- Anti-hepatitis C virus antibody (anti-HCV) negative or negative HCV PCR if anti-HCV is positive
- Access to participating site and available for follow-up during the 12 month study
You may not qualify if:
- HIV vaccines or placebos in prior HIV vaccine trial
- Measurable anti-VEE antibody
- High risk for HIV infection according to HVTN Risk Criteria
- Immunosuppressive medications within 168 days prior to first study vaccine administration
- Blood products within 120 days prior to first study vaccine administration
- Immunoglobulin within 60 days prior to first study vaccine administration
- Live attenuated vaccines within 30 days prior to first study vaccine administration
- Investigational research agents within 30 days prior to first study vaccine administration
- Subunit or killed vaccines within 14 days prior to first study vaccine administration
- Current tuberculosis prophylaxis or therapy
- Active syphilis
- Serious adverse reaction to vaccines. A person who had an adverse reaction to pertussis vaccine as a child is not excluded.
- Autoimmune disease or immunodeficiency
- Unstable asthma
- Type 1 or Type 2 Diabetes Mellitus
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AlphaVax, Inc.lead
- HIV Vaccine Trials Networkcollaborator
- National Institute of Allergy and Infectious Diseases (NIAID)collaborator
Study Sites (7)
Johns Hopkins University
Baltimore, Maryland, 21205-1901, United States
Columbia University
New York, New York, 10032, United States
University of Rochester Medical Center
Rochester, New York, 14642-0002, United States
New York Blood Ctr- Union Square
The Bronx, New York, 10456, United States
Vanderbilt University
Nashville, Tennessee, 37232, United States
SAAVI Vaccine Research Unit
Durban, South Africa
Chris Hani Baragwanath Hospital
Soweto, South Africa
Related Publications (5)
Pushko P, Parker M, Ludwig GV, Davis NL, Johnston RE, Smith JF. Replicon-helper systems from attenuated Venezuelan equine encephalitis virus: expression of heterologous genes in vitro and immunization against heterologous pathogens in vivo. Virology. 1997 Dec 22;239(2):389-401. doi: 10.1006/viro.1997.8878.
PMID: 9434729BACKGROUNDPushko P, Bray M, Ludwig GV, Parker M, Schmaljohn A, Sanchez A, Jahrling PB, Smith JF. Recombinant RNA replicons derived from attenuated Venezuelan equine encephalitis virus protect guinea pigs and mice from Ebola hemorrhagic fever virus. Vaccine. 2000 Aug 15;19(1):142-53. doi: 10.1016/s0264-410x(00)00113-4.
PMID: 10924796BACKGROUNDDavis NL, Caley IJ, Brown KW, Betts MR, Irlbeck DM, McGrath KM, Connell MJ, Montefiori DC, Frelinger JA, Swanstrom R, Johnson PR, Johnston RE. Vaccination of macaques against pathogenic simian immunodeficiency virus with Venezuelan equine encephalitis virus replicon particles. J Virol. 2000 Jan;74(1):371-8. doi: 10.1128/jvi.74.1.371-378.2000.
PMID: 10590126BACKGROUNDStrauss JH, Strauss EG. The alphaviruses: gene expression, replication, and evolution. Microbiol Rev. 1994 Sep;58(3):491-562. doi: 10.1128/mr.58.3.491-562.1994.
PMID: 7968923BACKGROUNDWecker M, Gilbert P, Russell N, Hural J, Allen M, Pensiero M, Chulay J, Chiu YL, Abdool Karim SS, Burke DS; HVTN 040/059 Protocol Team; NIAID HIV Vaccine Trials Network. Phase I safety and immunogenicity evaluations of an alphavirus replicon HIV-1 subtype C gag vaccine in healthy HIV-1-uninfected adults. Clin Vaccine Immunol. 2012 Oct;19(10):1651-60. doi: 10.1128/CVI.00258-12. Epub 2012 Aug 22.
PMID: 22914365DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Donald Burke, MD
Johns Hopkins University
- STUDY CHAIR
Salim Abdool Karim, MD, PhD
University of Natal, Durban, South Africa
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 7, 2003
First Posted
July 8, 2003
Study Start
July 1, 2003
Primary Completion
July 1, 2005
Study Completion
July 1, 2005
Last Updated
July 2, 2012
Record last verified: 2012-06