Immunotherapy With TG4040 in Treatment-naïve Patients Chronically Infected With Hepatitis C Virus
Open-label, Dose-escalating, Phase I Study of TG4040 (MVA-HCV) in Treatment-naïve Patients Chronically Infected With Hepatitis C Virus (HCV Genotype 1)
1 other identifier
interventional
42
1 country
6
Brief Summary
The primary objective is to determine the safety of sub-cutaneous (SC) injections of TG4040 in non-cirrhotic, treatment-naïve patients chronically infected with HCV (genotype 1). Patients will be sequentially treated at an escalting dose of TG4040. All patients will be followed up to at least 6 months after his/her first injection. In addition, all patients treated at the highest dose will receive a TG4040 boost injection 6 months after the first injection, and will be followed up during an additional 6-month period.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Dec 2006
Typical duration for phase_1
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2006
CompletedFirst Submitted
Initial submission to the registry
September 7, 2007
CompletedFirst Posted
Study publicly available on registry
September 14, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2010
CompletedSeptember 3, 2010
September 1, 2010
2.8 years
September 7, 2007
September 2, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
Safety (adverse events, vital signs, physical examination, standard laboratory tests)
regularly
Secondary Outcomes (1)
Virology (quantification of HCV-RNA), immunology (cellular-mediated and humoral immune responses)
regularly
Interventions
MVA-HCV
Eligibility Criteria
You may qualify if:
- Informed consent obtained and signed;
- Male or female patients;
- With chronic hepatitis C (genotype 1) evidenced by HCV positive serology detectable for more than 6 months;
- Patients with fibrosis status graded F0 or F1 according to the METAVIR grading system; patients with a F2 fibrosis stage could be enrolled on a case-by-case basis after being sure that they have a contraindication to be treated with an IFN-based standard HCV treatment; patients with F3 or F4 fibrosis stage will not be enrolled; this will be assessed either on the liver biopsy performed less than 18 months prior to baseline or on a FibroTest® and a FibroScan® performed within 2 months prior to first TG4040 injection; in case of discordant results, a liver biopsy will be performed prior to TG4040 treatment;;
- Treatment-naïve patients: patients who have never received IFN-based treatment;
- Patients must have compensated liver disease, with:
- No history of ascites, hepatic encephalopathy or bleeding from esophageal varices;
- Laboratory tests values:
- Serum alanine aminotransferase (ALT)less then 2 folds the Upper Limit of Normal (ULN);
- Serum bilirubin and international normalized ratio (INR) values within normal range (except in patients with Gilbert syndrome where serum bilirubin may be as high as 3.0 mg/dL); and
- Other laboratory parameters of grade 0 or 1 (CTC criteria);
- For women of child-bearing potential, i.e. with no history of hysterectomy or tubal ligation, a negative pregnancy test at study entry and adequate protection against pregnancy during the conduct of the study and until 3 months after last TG4040 injection.
- Additionnal cohorts:
You may not qualify if:
- Patients will be excluded from the study for any of the following reasons:
- Co-infection with HBV (indicated by the presence of Hepatitis B Surface Antigen (HBsAg) in serum; patients with anti-hepatitis B core antibody response (anti-HBc) will not be excluded) or HIV (anti-HIV antibodies in serum); patients with HIV positive sexual partner (by history) will not be included;
- Current HCV therapies;
- Active IV drug or alcohol abuse;
- Serious, concomitant disorder, including:
- primary biliary cirrhosis or sclerosing cholangitis;
- auto-immune disease such as symptomatic cryoglobulinemia, polyarthritis, multiple sclerosis; a broad auto-immune testing will be performed at baseline;
- proven or suspected immunosuppressive disorder;
- active systemic infection; if the patient has acute febrile illness ( \> 38°C) on the day of vaccination, it will be delayed by at least one week after complete recovery;
- Malignancy within the last 5 years; patients with history of squamous cell skin cancer or basal cell skin cancer will be enrolled, unless the history of skin cancer is at the vaccination site;
- Systemic corticosteroid therapy or other immunosuppressive/immunomodulating drugs (e.g. Cyclosporine) within 2 months prior to first study drug injection; corticosteroid nasal sprays, inhaled steroids for asthma and/or topical steroids are permissible;
- Participation in another experimental protocol during the study period (last intake of investigational drug within 6 months prior to baseline);
- Breast-feeding women;
- Receipt of any inactivated vaccine 14 days prior to vaccination or for the duration of the study; receipt of any live attenuated vaccine within 30 days prior to vaccination or for the duration of the study;
- Allergy to eggs;
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Transgenelead
Study Sites (6)
Hôpital Henri Mondor
Créteil, 94010, France
Hopital A. Michallon
La Tronche, 38700, France
Hopital de l'Hotel-Dieu
Lyon, 69288, France
Hôpital de l'Hôtel Dieu
Nantes, 44000, France
Hopital Civil
Strasbourg, 67091, France
Hôpital de Brabois
Vandœuvre-lès-Nancy, 54500, France
Related Publications (1)
Habersetzer F, Honnet G, Bain C, Maynard-Muet M, Leroy V, Zarski JP, Feray C, Baumert TF, Bronowicki JP, Doffoel M, Trepo C, Agathon D, Toh ML, Baudin M, Bonnefoy JY, Limacher JM, Inchauspe G. A poxvirus vaccine is safe, induces T-cell responses, and decreases viral load in patients with chronic hepatitis C. Gastroenterology. 2011 Sep;141(3):890-899.e1-4. doi: 10.1053/j.gastro.2011.06.009. Epub 2011 Jun 13.
PMID: 21699798DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christian TREPO, MD
Hopital de l'Hotel-Dieu
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 7, 2007
First Posted
September 14, 2007
Study Start
December 1, 2006
Primary Completion
September 1, 2009
Study Completion
September 1, 2010
Last Updated
September 3, 2010
Record last verified: 2010-09