NCT01141205

Brief Summary

Treatment: Immunization with peptide-mix and adjuvant. The vaccine should induce cellular immunity against HIV-1. Target group: Untreated healthy individuals with chronic HIV-1 infection. Purpose: The primary purpose is to evaluate tolerability and safety of the vaccine. The secondary purpose is to evaluate the clinical effect of the vaccination treatment as measured by induction of immunity, lowering of viral load, induction of escape mutations in the virus and improvement in the patient CD4 lymphocyte blood counts. The third purpose is to evaluate the feasibility of conducting a therapeutic HIV immunization study in a poorly-resourced African setting. Design: The experiment is designed as a blinded, placebo-controlled phase 1 clinical trial in HIV-1 infected individuals in West Africa. Numbers of individuals: Phase I: 20 fully evaluable HIV-1-infected patients should enter the study (15 vaccine treated and 5 placebo(saline) treated controls).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
18

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Aug 2009

Typical duration for phase_1

Geographic Reach
1 country

2 active sites

Status
completed

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

August 1, 2009

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

June 9, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 10, 2010

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2012

Completed
5 months until next milestone

Results Posted

Study results publicly available

October 15, 2012

Completed
Last Updated

August 8, 2013

Status Verified

August 1, 2013

Enrollment Period

2.8 years

First QC Date

June 9, 2010

Results QC Date

June 13, 2012

Last Update Submit

August 2, 2013

Conditions

Keywords

AIDS vaccinesHIV-1 vaccineTherapeutic vaccineCellular immunity

Outcome Measures

Primary Outcomes (1)

  • Tolerability and Safety of the Treatment.

    We report here the numbers of participants with vaccine related adverse events degree 3 or 4. Our goal for safety and tolerability was: "Fewer than or 3 patients of the 15 vaccine treated show treatment related (reaction 3) side-effects of degree 3 or 4".

    up to 6 months after end of treatment

Secondary Outcomes (3)

  • Induction of New T-cell Immune Response by the Vaccine

    up to 6 months after last immunisation

  • Lowering of HIV-1 RNA Viral-load in HIV-1 Immune Responders More Than 1 Log

    up to 6 months post immunization

  • Increase in Blood CD4 T-cell Counts

    up to 6 months post vaccination

Study Arms (2)

AFO-18

EXPERIMENTAL

18 peptides representing CD8 and CD4 epitopes mainly on HIV-1 in an adjuvants (CAF01)

Biological: AFO-18

Saline

PLACEBO COMPARATOR

Saline

Drug: Saline

Interventions

AFO-18BIOLOGICAL

18 peptides representing CD8 and CD4 epitopes mainly on HIV-1 in an adjuvants (CAF01)

Also known as: CAF01, HIV-1 peptides
AFO-18
SalineDRUG

1.2 ml saline intramuscularly

Also known as: NaCl
Saline

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • HIV-1 seropositive with measurable viral load \>10e3 copies/ml and CD4+ T-cell count \>400 CD4+ cells/µl.
  • Not in Antiretroviral Therapy (\>1 year).
  • Male or female with age between 18 and 50 years.
  • Normal values for the area of liver and kidney enzymes, blood cell count with differential counts (e.g. white blood cells, lymphocytes, platelets/thrombocytes) and Hemoglobin
  • Expected to follow the instructions.
  • Written informed consent after oral and written information.

You may not qualify if:

  • Vaccinated with other vaccines within 3 months before the first vaccination.
  • Treated with immune modulating medicine within 3 month before the first immunization.
  • Other important active chronic infectious diseases likely to influence the HIV-1 infection, like HIV-2, HBV, HCV and TB
  • Significant medical disease as judged by the investigators, for example severe asthma/COLD, badly regulated heart disease, insulin-dependent diabetes mellitus.
  • Severe allergy or earlier anaphylactic reactions.
  • Active autoimmune diseases.
  • Simultaneous treatment with other experimental drugs.
  • Laboratory parameters outside the 'normal' range for the area and which are considered clinically significant.
  • Pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Hospital Nacional Simao Mendes

Bissau, Guinea-Bissau, Guinea-Bissau

Location

Hospital Nacional Simao Mendes

Bissau, Guinea-Bissau

Location

Related Publications (1)

  • Roman VR, Jensen KJ, Jensen SS, Leo-Hansen C, Jespersen S, da Silva Te D, Rodrigues CM, Janitzek CM, Vinner L, Katzenstein TL, Andersen P, Kromann I, Andreasen LV, Karlsson I, Fomsgaard A. Therapeutic vaccination using cationic liposome-adjuvanted HIV type 1 peptides representing HLA-supertype-restricted subdominant T cell epitopes: safety, immunogenicity, and feasibility in Guinea-Bissau. AIDS Res Hum Retroviruses. 2013 Nov;29(11):1504-12. doi: 10.1089/AID.2013.0076. Epub 2013 Jun 21.

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome

Interventions

Sodium Chloride

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesSlow Virus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Intervention Hierarchy (Ancestors)

ChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium Compounds

Results Point of Contact

Title
Dr Anders Fomsgaard
Organization
Statens Serum Institut

Study Officials

  • Anders Fomsgaard, DMSc

    Statens Serum Institut

    STUDY DIRECTOR
  • Zacarias Jose da Silva, PhD

    Bandim Health Project, Bissau, Guinea-Bissau

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Chief Medical Doctor

Study Record Dates

First Submitted

June 9, 2010

First Posted

June 10, 2010

Study Start

August 1, 2009

Primary Completion

June 1, 2012

Study Completion

June 1, 2012

Last Updated

August 8, 2013

Results First Posted

October 15, 2012

Record last verified: 2013-08

Locations