Study of Late Boost Strategies for HIV-uninfected Participants From Protocol RV 144
Randomized, Double Blind Evaluation of Late Boost Strategies for HIV-uninfected Participants in the HIV Vaccine Efficacy Trial RV 144: "Aventis Pasteur Live Recombinant ALVAC-HIV (vCP1521) Priming With VaxGen gp120 B/E (AIDSVAX B/E) Boosting in HIV-uninfected Thai Adults"
4 other identifiers
interventional
162
1 country
2
Brief Summary
The purpose of this study is to assess safety and tolerability of late boost regimens of AIDSVAX B/E alone, ALVAC-HIV alone, or ALVAC-HIV/AIDSVAX B/E combination in HIV-uninfected participants from RV 144.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 hiv-infections
Started Apr 2012
Longer than P75 for phase_2 hiv-infections
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
First Submitted
Initial submission to the registry
September 8, 2011
CompletedFirst Posted
Study publicly available on registry
September 15, 2011
CompletedStudy Start
First participant enrolled
April 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2021
CompletedNovember 3, 2020
November 1, 2020
9.3 years
September 8, 2011
November 2, 2020
Conditions
Outcome Measures
Primary Outcomes (7)
Primary Immunogenicity Endpoint
Characterization of vaccine-induced immune responses by IFN-gamma ELISPOT, intracellular cytokine staining (ICS), and 3H-thymidine incorporation assay.
Week 0
Safety Endpoints
Post-vaccination reactions including erythema, induration, pain/tenderness, swelling, limitation of arm movement, fever, tiredness, chills, myalgia, arthralgia, headache, nausea, dizziness, and rash will be assessed and recorded on diary cards.
During the 3 days post-vaccination
Primary Immunogenicity Endpoint
Characterization of vaccine-induced immune responses by IFN-gamma ELISPOT, intracellular cytokine staining (ICS), and 3H-thymidine incorporation assay.
Week 2
Primary Immunogenicity Endpoint
Characterization of vaccine-induced immune responses by IFN-gamma ELISPOT, intracellular cytokine staining (ICS), and 3H-thymidine incorporation assay.
Week 24
Primary Immunogenicity Endpoint
Characterization of vaccine-induced immune responses by IFN-gamma ELISPOT, intracellular cytokine staining (ICS), and 3H-thymidine incorporation assay.
Week 26
Primary Immunogenicity Endpoint
Characterization of vaccine-induced immune responses by IFN-gamma ELISPOT, intracellular cytokine staining (ICS), and 3H-thymidine incorporation assay.
Week 48
Primary Immunogenicity Endpoint
Characterization of vaccine-induced immune responses by IFN-gamma ELISPOT, intracellular cytokine staining (ICS), and 3H-thymidine incorporation assay.
Week 72
Secondary Outcomes (1)
Secondary Immunogenicity Endpoints
Baseline, Weeks 2, 24, 26, 48 and 72
Study Arms (3)
Group I
EXPERIMENTALALVAC-HIV + AIDSVAX B/E or ALVAC-HIV placebo + AIDSVAX B/E placebo at Weeks 0 and 24
Group II
EXPERIMENTALAIDSVAX B/E or AIDSVAX B/E placebo at Weeks 0 and 24
Group III
EXPERIMENTALALVAC-HIV or ALVAC-HIV placebo at Weeks 0 and 24
Interventions
1 mL per injection containing 10\^6 CCID50/dose administered
1 mL per injection (300 ug dose/antigen for a total of 600ug/dose administered)
Eligibility Criteria
You may qualify if:
- Must have participated in RV144, received the active product, and completed all 4 vaccination visits per protocol.
- Must be able to understand and complete the informed consent process.
- Must successfully complete a Test of Understanding prior to enrollment
- The volunteer must answer 80% or 8 out of 10 of the questions correctly including two compulsory questions answered correctly.
- If the volunteer is unable to do so, he or she will be given two more opportunities to repeat the TOU.
- If after three attempts to pass the TOU the volunteer is still unable to do so, the volunteer will become ineligible for study participation.
- Must be in good general health without clinically significant medical history.
- HIV-uninfected per predefined algorithm within 45 days of enrollment.
- Laboratory screening analysis
- Hemoglobin: Women ≥12.0 g/dL. Men ≥12.5 g/dL
- White cell count: 4,000 to 11,000 cells/mm3
- Platelets: 150,000 to 450,000/mm3
- Normal liver function: ALT/AST ≤1.25 institutional upper limit of reference range
- Creatinine: ≤1.25 institutional upper limit of reference range
- Urinalysis (dipstick) for blood and protein no greater than 1+, glucose negative
- +3 more criteria
You may not qualify if:
- \. Women breast-feeding or pregnant (positive pregnancy test) or planning to become pregnant during the window between study enrollment and 3 months after the last vaccination visit.
- History of anaphylaxis or other serious adverse reaction to vaccines including to RV 144 vaccines, or allergies or reactions likely to be exacerbated by any component of the vaccine or placebo, including eggs, egg products, streptomycin, or neomycin.
- Subject has received any of the following substances:
- Chronic use of therapies which may modify immune response, such as IV immune globulin and systemic corticosteroids (in doses of \> 20 mg/day prednisone equivalent for periods exceeding 10 days).
- The following exceptions are permitted and will not exclude study participation: use of corticosteroid nasal spray for rhinitis, topical corticosteroids for an acute uncomplicated dermatitis; or a short course (duration of 10 days or less, or a single injection) of corticosteroid for a nonchronic condition (based on investigator clinical judgment) at least 2 weeks prior to enrollment in this study.
- Blood products within 120 days prior to HIV screening.
- Immunoglobulins within 14 days prior to HIV screening.
- Any vaccine within 14 days prior to initial study vaccine administration in the present study.
- Receipt of investigational HIV vaccine product other than the RV 144 regimen.
- Investigational research agents within 30 days prior to initial study vaccine administration in the present study.
- Use of anti-tuberculosis prophylaxis or therapy during the past 90 days.
- Any medical, psychiatric, social condition, occupational reason, or other responsibility that, in the judgment of the investigator, is a contraindication to protocol compliance or impairs a subject's ability to give informed consent.
- Psychiatric condition that precludes compliance with the protocol; past or present psychoses; past or present bipolar disorder; disorder requiring lithium; or within 5 years prior to enrollment, a history of suicide plan or attempt.
- Study site employees who are involved in the protocol and/or may have direct access to study related area.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Bang Lamung District Hospital
Chon Buri, Thailand
Phan Thong District Hospital
Chon Buri, Thailand
Related Publications (4)
Rerks-Ngarm S, Pitisuttithum P, Nitayaphan S, Kaewkungwal J, Chiu J, Paris R, Premsri N, Namwat C, de Souza M, Adams E, Benenson M, Gurunathan S, Tartaglia J, McNeil JG, Francis DP, Stablein D, Birx DL, Chunsuttiwat S, Khamboonruang C, Thongcharoen P, Robb ML, Michael NL, Kunasol P, Kim JH; MOPH-TAVEG Investigators. Vaccination with ALVAC and AIDSVAX to prevent HIV-1 infection in Thailand. N Engl J Med. 2009 Dec 3;361(23):2209-20. doi: 10.1056/NEJMoa0908492. Epub 2009 Oct 20.
PMID: 19843557BACKGROUNDWilliams LD, Shen X, Sawant SS, Akapirat S, Dahora LC, Tay MZ, Stanfield-Oakley S, Wills S, Goodman D, Tenney D, Spreng RL, Zhang L, Yates NL, Montefiori DC, Eller MA, Easterhoff D, Hope TJ, Rerks-Ngarm S, Pittisuttithum P, Nitayaphan S, Excler JL, Kim JH, Michael NL, Robb ML, O'Connell RJ, Karasavvas N, Vasan S, Ferrari G, Tomaras GD; RV305 study team. Viral vector delivered immunogen focuses HIV-1 antibody specificity and increases durability of the circulating antibody recall response. PLoS Pathog. 2023 May 31;19(5):e1011359. doi: 10.1371/journal.ppat.1011359. eCollection 2023 May.
PMID: 37256916DERIVEDRerks-Ngarm S, Pitisuttithum P, Excler JL, Nitayaphan S, Kaewkungwal J, Premsri N, Kunasol P, Karasavvas N, Schuetz A, Ngauy V, Sinangil F, Dawson P, deCamp AC, Phogat S, Garunathan S, Tartaglia J, DiazGranados C, Ratto-Kim S, Pegu P, Eller M, Karnasuta C, Montefiori DC, Sawant S, Vandergrift N, Wills S, Tomaras GD, Robb ML, Michael NL, Kim JH, Vasan S, O'Connell RJ; RV305 Study Team. Randomized, Double-Blind Evaluation of Late Boost Strategies for HIV-Uninfected Vaccine Recipients in the RV144 HIV Vaccine Efficacy Trial. J Infect Dis. 2017 Apr 15;215(8):1255-1263. doi: 10.1093/infdis/jix099.
PMID: 28329190DERIVEDEasterhoff D, Moody MA, Fera D, Cheng H, Ackerman M, Wiehe K, Saunders KO, Pollara J, Vandergrift N, Parks R, Kim J, Michael NL, O'Connell RJ, Excler JL, Robb ML, Vasan S, Rerks-Ngarm S, Kaewkungwal J, Pitisuttithum P, Nitayaphan S, Sinangil F, Tartaglia J, Phogat S, Kepler TB, Alam SM, Liao HX, Ferrari G, Seaman MS, Montefiori DC, Tomaras GD, Harrison SC, Haynes BF. Boosting of HIV envelope CD4 binding site antibodies with long variable heavy third complementarity determining region in the randomized double blind RV305 HIV-1 vaccine trial. PLoS Pathog. 2017 Feb 24;13(2):e1006182. doi: 10.1371/journal.ppat.1006182. eCollection 2017 Feb.
PMID: 28235027DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Supachai Rerks-Ngarm, MD
Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 8, 2011
First Posted
September 15, 2011
Study Start
April 1, 2012
Primary Completion
July 1, 2021
Study Completion
July 1, 2021
Last Updated
November 3, 2020
Record last verified: 2020-11