HVTN Protocol 204 - A Phase II Clinical Trial to Evaluate the Safety and Immunogenicity of a Multiclade HIV-1 DNA Plasmid Vaccine, VRC-HIVDNA016-00-VP, Followed by a Multiclade Recombinant Adenoviral Vector HIV-1 Vaccine Boost, VRCHIVADV014-00-VP, in HIV-1 Uninfected Adult Participants
2 other identifiers
interventional
480
5 countries
12
Brief Summary
The purpose of the study is to determine the safety of and immune response to a DNA HIV vaccine followed by an adenoviral vector HIV vaccine in HIV uninfected adults.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 hiv-infections
Started Sep 2005
Typical duration for phase_2 hiv-infections
12 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
First Submitted
Initial submission to the registry
June 30, 2005
CompletedFirst Posted
Study publicly available on registry
August 2, 2005
CompletedStudy Start
First participant enrolled
September 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2010
CompletedOctober 15, 2021
October 1, 2021
2.4 years
June 30, 2005
October 13, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Local and systemic adverse reactions
Measured after each injection and for 12 months after the first injection
Unfractionated IFN-γ ELISpot responses to HIV-1 peptide pools as performed by the VRC laboratory
Measured at Day 196
Unfractionated IFN-γ ELISpot responses to HIV-1 peptide pools as performed by the FHCRC laboratory
Measured at Day 210
CD4 and CD8 T cell responses to HIV-1 peptide pools as measured by flow cytometry-based intracellular cytokine staining (ICS) assay as performed by the VRC laboratory
Measured at Day 196
CD4 and CD8 T cell responses to HIV-1 peptide pools as measured by flow cytometry-based ICS assay as performed by the FHCRC laboratory
Measured at Day 210
Secondary Outcomes (5)
Humoral immune response to HIV-1 as measured by neutralizing antibody and binding assays
Measured through Month 36
Unfractionated IFN-γ ELISpot responses to HIV-1 as performed by the FHCRC or the VRC laboratories
Measured at Days 70, 210, and 364
CD4 and CD8 T cell responses to HIV-1 as measured by flow cytometry-based ICS assay as performed by the FHCRC or the VRC laboratories
Measured at Days 70, 210, and 364
Vaccine-induced HIV-specific T cell responses to individual peptide pools as measured by IFN-γ ELISpot and ICS as performed by the FHCRC or the VRC laboratories
Measured through Month 36
Cross-clade cellular immune responses to HIV-1 Gag-Pol-Nef peptides from clades A and C as assessed by IFN-γ ELISpot and ICS assays as performed by the FHCRC or the VRC laboratories
Measured through Month 36
Study Arms (2)
1
EXPERIMENTALDNA HIV vaccine administered at study entry and at Months 1 and 2 and adenoviral vector HIV vaccine administered at Month 6
2
PLACEBO COMPARATORDNA HIV vaccine placebo administered at study entry and at Months 1 and 2 and adenoviral vector HIV vaccine placebo administered at Month 6
Interventions
4 mg administered in deltoid
1 mL administered at study entry and Months 1 and 2
1 mL administered at Month 6
Eligibility Criteria
You may qualify if:
- HIV uninfected
- Has access to a participating HIV Vaccine Trials Unit (HVTU) and willing to be followed for the duration of the study
- Willing to receive HIV test results
- Good general health
- Willing to use acceptable forms of contraception
- Completed at least 12 years of schooling (South African participants only)
You may not qualify if:
- HIV vaccines in prior HIV vaccine trial
- 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
- Clinically significant medical condition, abnormal physical exam findings, abnormal laboratory results, or past medical history that may affect current health
- Any medical, psychiatric, or social condition that would interfere with the study. More information about this criterion can be found in the protocol.
- Any job-related responsibility that would interfere with the study
- 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
- Active syphilis infection
- Unstable asthma
- +11 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Alabama Vaccine CRS
Birmingham, Alabama, 35294-2041, United States
Project Brave HIV Vaccine CRS
Baltimore, Maryland, 21201, United States
Brigham and Women's Hosp. CRS
Boston, Massachusetts, 02115, United States
Miriam Hospital's HVTU
Providence, Rhode Island, 02115, United States
Vanderbilt Vaccine CRS
Nashville, Tennessee, 37232, United States
Projeto Praca Onze/Hesfa Crs
Rio de Janeiro, Brazil
Sao Paulo HVTU - CRT DST/AIDS CRS
São Paulo, Brazil
Les Centres GHESKIO CRS
Port-au-Prince, Haiti
Epidemiology Research & Training Unit Jamaica MOH CRS
Kingston, Jamaica
Soweto HVTN CRS
Johannesburg, Gauteng, South Africa
Emavundleni Desmond Tutu HIV Centre CRS
Cape Town, South Africa
CAPRISA Aurum CRS
Klerksdorp, South Africa
Related Publications (7)
Esparza J, Osmanov S. HIV vaccines: a global perspective. Curr Mol Med. 2003 May;3(3):183-93. doi: 10.2174/1566524033479825.
PMID: 12699356BACKGROUNDGaschen B, Taylor J, Yusim K, Foley B, Gao F, Lang D, Novitsky V, Haynes B, Hahn BH, Bhattacharya T, Korber B. Diversity considerations in HIV-1 vaccine selection. Science. 2002 Jun 28;296(5577):2354-60. doi: 10.1126/science.1070441.
PMID: 12089434BACKGROUNDMoore JP, Parren PW, Burton DR. Genetic subtypes, humoral immunity, and human immunodeficiency virus type 1 vaccine development. J Virol. 2001 Jul;75(13):5721-9. doi: 10.1128/JVI.75.13.5721-5729.2001. No abstract available.
PMID: 11390574BACKGROUNDStratov I, DeRose R, Purcell DF, Kent SJ. Vaccines and vaccine strategies against HIV. Curr Drug Targets. 2004 Jan;5(1):71-88. doi: 10.2174/1389450043490686.
PMID: 14738219BACKGROUNDFischinger S, Cizmeci D, Deng D, Grant SP, Frahm N, McElrath J, Fuchs J, Bart PA, Pantaleo G, Keefer M, O Hahn W, Rouphael N, Churchyard G, Moodie Z, Donastorg Y, Streeck H, Alter G. Sequence and vector shapes vaccine induced antibody effector functions in HIV vaccine trials. PLoS Pathog. 2021 Nov 29;17(11):e1010016. doi: 10.1371/journal.ppat.1010016. eCollection 2021 Nov.
PMID: 34843602DERIVEDJin X, Morgan C, Yu X, DeRosa S, Tomaras GD, Montefiori DC, Kublin J, Corey L, Keefer MC; NIAID HIV Vaccine Trials Network. Multiple factors affect immunogenicity of DNA plasmid HIV vaccines in human clinical trials. Vaccine. 2015 May 11;33(20):2347-53. doi: 10.1016/j.vaccine.2015.03.036. Epub 2015 Mar 25.
PMID: 25820067DERIVEDChurchyard GJ, Morgan C, Adams E, Hural J, Graham BS, Moodie Z, Grove D, Gray G, Bekker LG, McElrath MJ, Tomaras GD, Goepfert P, Kalams S, Baden LR, Lally M, Dolin R, Blattner W, Kalichman A, Figueroa JP, Pape J, Schechter M, Defawe O, De Rosa SC, Montefiori DC, Nabel GJ, Corey L, Keefer MC; NIAID HIV Vaccine Trials Network. A phase IIA randomized clinical trial of a multiclade HIV-1 DNA prime followed by a multiclade rAd5 HIV-1 vaccine boost in healthy adults (HVTN204). PLoS One. 2011;6(8):e21225. doi: 10.1371/journal.pone.0021225. Epub 2011 Aug 3.
PMID: 21857901DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Michael Keefer, MD
University of Rochester
- STUDY CHAIR
Gavin Churchyard, MBBCh, FCP, MMed, PhD
Aurum Health Research Limited
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 30, 2005
First Posted
August 2, 2005
Study Start
September 1, 2005
Primary Completion
February 1, 2008
Study Completion
January 1, 2010
Last Updated
October 15, 2021
Record last verified: 2021-10