Study of a Novel Therapeutic Vaccine for Hepatitis C Virus
A Phase I Study to Assess the Safety and Immunogenicity of Ad6NSmut and AdCh3NSmut in Patients With Hepatitis C Virus Infection
3 other identifiers
interventional
35
1 country
2
Brief Summary
HCV002TV is a Phase I study to ascertain the safety and immunogenicity of a novel vaccine against Hepatitis C virus (HCV) in chronically infected patients. The vaccine is based on the sequential delivery, by intramuscular route, of two different adenoviral vectors, of chimpanzee and human origin respectively, bearing the same genetic information for HCV antigens (NS region). The two recombinant vaccine vectors, called AdCh3NSmut and Ad6NSmut, are weakened and unable to multiply within the body; they are designed to induce an immune response against HCV proteins. AdCh3NSmut and Ad6NSmut are being used in the ongoing HCV001 study in healthy volunteers with very good safety and immunogenicity results. HCV002TV is a dose-escalation study; the AdCh3NSmut is administered as priming vaccination and Ad6NSmut as boosting vaccination. The trial includes:
- Arm A, in which vaccinated patients are into Interferon-ribavirin therapy (the gold standard therapy for hepatitis C);
- Arm B, in which vaccinated patients are not into therapy.
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 Nov 2009
Typical duration for phase_1
2 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
November 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 25, 2010
CompletedFirst Posted
Study publicly available on registry
March 29, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2013
CompletedApril 23, 2015
August 1, 2013
3.4 years
March 25, 2010
April 22, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety and immunogenicity
To assess the safety and immunogenicity of new hepatitis C vaccine candidates, AdCh3NSmut and Ad6NSmut when administered in a prime/boost regimen to HCV infected patients. The specific endpoints for safety and reactogenicity will be actively and passively collected data on adverse events. The specific endpoint of cellular immune response will be collected via IFN-gamma ELISpot assay and other exploratory immunological tests.
Different time points depending on the study groups with a 6-months follow-up after last vaccination for all groups
Study Arms (9)
Arm A, group 1
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10\^8vp at week 14 and 1 dose Ad6NSmut 5 x 10\^8vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 2
Arm A, group 2
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10\^9vp at week 14 and 1 dose Ad6NSmut 5 x 10\^9vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 2
Arm A, group 3
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10\^10vp at week 14 and 1 dose Ad6NSmut 2.5 x 10\^10vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 6
Arm A, group 4
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10\^10vp at week 2 and 1 dose Ad6NSmut 2.5 x 10\^10vp at week 12, after starting PEG-IFN and ribavirin therapy. Patients: 6
Arm A, group 5
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10\^10vp at weeks 14 and 18, and 1 dose Ad6NSmut 2.5 x 10\^10vp at week 28, after starting PEG-IFN and ribavirin therapy. Patients: 4
Arm A, group 6
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10\^10vp at weeks 2 and 6, and 1 dose Ad6NSmut 2.5 x 10\^10vp at week 16, after starting PEG-IFN and ribavirin therapy. Patients: 4
Arm B, group 1
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10\^8vp at week 4 and 1 dose Ad6NSmut 5 x 10\^8vp at week 14. Patients: 2
Arm B, group 2
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10\^9vp at week 4 and 1 dose Ad6NSmut 5 x 10\^9vp at week 14. Patients: 2
Arm B, group 3
EXPERIMENTALInterventions: AdCh3NSmut; Ad6NSmut. 1 dose AdCh3NSmut 2.5 x 10\^10vp at week 4 and 1 dose Ad6NSmut 2.5 x 10\^10vp at week 14. Patients: 4
Interventions
Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Eligibility Criteria
You may qualify if:
- The patient must satisfy all the following criteria to be eligible for the study:
- HCV infected with genotype-1 infection
- Adults aged 18 to 65 years (inclusive)
- In arms A1-A3 patients will only be vaccinated if they have a \>2log drop in viral load at week 12 of IFN-alpha and ribavirin therapy. Vaccination will then occur at week 14 into IFN-alpha and ribavirin therapy.
- Resident in or near the trial sites for the duration of the vaccination study
- Able and willing (in the Investigator's opinion) to comply with all study requirements
- For women of child bearing potential, willingness to practice continuous effective contraception during the study and a negative pregnancy test on the day(s) of vaccination
- For men to use barrier contraception until three months after the last vaccination
- Written informed consent
You may not qualify if:
- The patient may not enter the study if any of the following apply:
- Participation in another research study involving an investigational product in the 30 days preceding enrolment, or planned use during the study period
- Prior receipt of a recombinant simian or human adenoviral vaccine
- Clinical, biochemical, ultrasonographic, or liver biopsy (histology) evidence of cirrhosis or portal hypertension
- Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed)
- Patients likely to have been infected with HCV within the last 12 months
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g., Kathon
- Patients who failed to respond (non-responders) to previous IFN-alpha monotherapy
- Patients who received IFN-alpha and ribavirin in the past and who were non-responders or relapsed during or after therapy
- History of clinically significant contact dermatitis
- For Arm A, patients must be treatment naïve (i.e. never have had previous IFNα or ribavirin treatment). Arm B may include patients who have previously been treated for HCV and failed to achieve a sustained virological response (defined by undetectable HCV by PCR at 6 months post cessation of treatment)
- Any history of anaphylaxis in reaction to vaccination
- Pregnancy, lactation or willingness/intention to become pregnant during the study
- History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
- Any other serious chronic illness requiring hospital specialist supervision
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ReiThera Srllead
- University of Oxfordcollaborator
Study Sites (2)
Wellcome Clinical Research Facility, Queen Elizabeth's Hospital, University Hospital Birmingham NHS Foundation Trust
Birmingham, West Midlands, B15 2TH, United Kingdom
John Radcliffe Hospital, Headley Way
Headington, Oxford, OX3 9DU, United Kingdom
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Eleanor Barnes, MD
University of Oxford, UK
- PRINCIPAL INVESTIGATOR
David Mutimer, Dr.
University of Birmingham
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 25, 2010
First Posted
March 29, 2010
Study Start
November 1, 2009
Primary Completion
April 1, 2013
Study Completion
April 1, 2013
Last Updated
April 23, 2015
Record last verified: 2013-08