NCT03816137

Brief Summary

The objective of this experimental medicine study is to determine the extent to which different prime-boost combinations influence serum neutralising antibody breadth and associated B and T cells responses. The investigators hypothesise that the different prime-boost model immunogen combinations will have differential impact on: the magnitude and breadth of induced serum neutralising antibodies; and the induced B- and T-cell responses in peripheral blood. The investigators will investigate this by challenging the immune system of healthy adults with various model immunogens based on HIV-1 Env (ConM and ConS, with and without EDC stabilisation; Mos3.1, Mos3.2 and Mos3.3, and AMC011 and 763 SOSIP) in different prime-boost combinations.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
117

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Mar 2019

Typical duration for phase_1

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

January 22, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 25, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

March 19, 2019

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
Last Updated

November 5, 2024

Status Verified

November 1, 2024

Enrollment Period

3.8 years

First QC Date

January 22, 2019

Last Update Submit

November 1, 2024

Conditions

Keywords

AntibodyAntibody-dependent cell-mediated cytotoxicityNeutralizing antibody responses

Outcome Measures

Primary Outcomes (3)

  • Neutralising antibodies to virus expressing ConM and ConS envelopes

    Serum titres of neutralising antibodies to virus expressing ConM and ConS envelopes

    6 Months

  • Neutralising antibodies to virus expressing Mosaic envelopes

    Serum titres of neutralising antibodies to virus expressing Mosaic envelopes (Mos3.1, Mos3.2, Mos3.3)

    12 Months

  • Neutralising antibodies to virus expressing AMC011 and 763 SOSIP envelopes

    Serum titres of neutralising antibodies to virus expressing AMC011 and 763 SOSIP envelopes

    4 months

Study Arms (13)

Group A: ConM SOSIP and Mosaic SOSIPs

ACTIVE COMPARATOR

ConM SOSIP 100mcg Intramuscular injections into the left or right arm Administered at 0, 3 and 6 months Mosaic SOSIPs (Mos3.1 + Mos3.2) 100mcg (2x50mcg) Intramuscular injections into the left or right arm Administered at 12 months only

Biological: ConM SOSIPBiological: Mosaic SOSIPs

Group B: EDC ConM SOSIP and Mosaic SOSIPs

ACTIVE COMPARATOR

EDC ConM SOSIP 100mcg Intramuscular injections into the left or right arm Administered at 0, 3 and 6 months Mosaic SOSIPs (Mos3.1 + Mos3.2) 100mcg (2x50mcg) Intramuscular injections into the left or right arm Administered at 12 months only

Biological: EDC ConM SOSIPBiological: Mosaic SOSIPs

Group C: ConS UFO and Mosaic SOSIPs

ACTIVE COMPARATOR

ConS UFO 100mcg Intramuscular injections into the left or right arm Administered at 0, 3 and 6 months Mosaic SOSIPs (Mos3.1 + Mos3.2) 100mcg (2x50mcg) Intramuscular injections into the left or right arm Administered at 12 months only

Biological: ConS UFOBiological: Mosaic SOSIPs

Group D: EDC ConS UFO and Mosaic SOSIPs

ACTIVE COMPARATOR

EDC ConS UFO 100mcg Intramuscular injections into the left or right arm Administered at 0, 3 and 6 months Mosaic SOSIPs (Mos3.1 + Mos3.2) 100mcg (2x50mcg) Intramuscular injections into the left or right arm Administered at 12 months only

Biological: EDC ConS UFOBiological: Mosaic SOSIPs

Group E: ConS UFO and ConM SOSIP and Mosaic SOSIPs

ACTIVE COMPARATOR

ConS UFO 100mcg Intramuscular injections into the left or right arm Administered at 0 and 3 months ConM SOSIP 100mcg Intramuscular injection into the left or right arm Administered at 6 months Mosaic SOSIPs (Mos3.1 + Mos3.2) 100mcg (2x50mcg) Intramuscular injections into the left or right arm Administered at 12 months only

Biological: ConM SOSIPBiological: ConS UFOBiological: Mosaic SOSIPs

Group F: Mosaic SOSIPs and ConM SOSIP and ConS UFO

ACTIVE COMPARATOR

Mosaic SOSIP Mos3.1 100mcg Intramuscular injection into the left or right arm Administered at 0 months Mosaic SOSIP Mos3.2 100mcg Intramuscular injection into the left or right arm Administered at 2 months Mosaic SOSIP Mos3.3 100mcg Intramuscular injection into the left or right arm Administered at 4 months ConM SOSIP + ConS UFO 50mcg + 50mcg Intramuscular injections into the left or right arm Administered at 6 months

Biological: ConM SOSIPBiological: ConS UFOBiological: Mosaic SOSIPs

Group G: Mosaic SOSIPs and ConM SOSIP and ConS UFO

ACTIVE COMPARATOR

Mosaic SOSIP Mos3.2 100mcg Intramuscular injection into the left or right arm Administered at 0 months Mosaic SOSIP Mos3.1 100mcg Intramuscular injection into the left or right arm Administered at 2 months Mosaic SOSIP Mos3.3 100mcg Intramuscular injection into the left or right arm Administered at 4 months ConM SOSIP + ConS UFO 50mcg + 50mcg Intramuscular injections into the left or right arm Administered at 6 months

Biological: ConM SOSIPBiological: ConS UFOBiological: Mosaic SOSIPs

Group H: Mosaic SOSIPs and ConM SOSIP and ConS UFO

ACTIVE COMPARATOR

Mosaic SOSIP Mos3.3 100mcg Intramuscular injection into the left or right arm Administered at 0 months Mosaic SOSIP Mos3.2 100mcg Intramuscular injection into the left or right arm Administered at 2 months Mosaic SOSIP Mos3.1 100mcg Intramuscular injection into the left or right arm Administered at 4 months ConM SOSIP + ConS UFO 50mcg + 50mcg Intramuscular injections into the left or right arm Administered at 6 months

Biological: ConM SOSIPBiological: ConS UFOBiological: Mosaic SOSIPs

Group I: Mosaic SOSIPs and ConM SOSIP and ConS UFO

ACTIVE COMPARATOR

Mosaic SOSIPs (Mos3.1 + Mos3.2 + Mos3.3) 100mcg (3x33mcg) Intramuscular injections into the left or right arm Administered at 0, 2 and 4 months ConM SOSIP + ConS UFO 50mcg + 50mcg Intramuscular injections into the left or right arm Administered at 6 months

Biological: ConM SOSIPBiological: ConS UFOBiological: Mosaic SOSIPs

Group J: 763 SOSIP

ACTIVE COMPARATOR

763 SOSIP 100mcg Intramuscular injections into the left or right arm Administered at 0, 2 and 4 months

Biological: 763 SOSIP

Group K: AMC011 SOSIP

ACTIVE COMPARATOR

AMC011 100mcg Intramuscular injections into the left or right arm Administered at 0, 2 and 4 months

Biological: AMC011 SOSIP

Group L: 763 SOSIP and AMC011 SOSIP

ACTIVE COMPARATOR

763 SOSIP and AMC011 50mcg + 50mcg Intramuscular injections into the left or right arm Administered at 0, 2 and 4 months

Biological: 763 SOSIPBiological: AMC011 SOSIP

Group M: 763 SOSIP and AMC011 SOSIP and ConM SOSIP and Mosaic SOSIPs

ACTIVE COMPARATOR

763 SOSIP and AMC011 SOSIP and ConM SOSIP and Mos3.1 and Mos3.2 SOSIPs each at 20mcg Intramuscular injections into the left or right arm Administered at 0, 2 and 4 months

Biological: ConM SOSIPBiological: Mosaic SOSIPsBiological: 763 SOSIPBiological: AMC011 SOSIP

Interventions

ConM SOSIPBIOLOGICAL

Recombinant HIV-1 trimeric gp140 Env protein: ConM SOSIP gp140. Model immunogens will be used at the dosage of 20 mcg or 50 mcg or 100 mcg and will be admixed with 500 mcg MPLA formulated in liposomes and administered by intramuscular injection into the left or right deltoid muscle.

Group A: ConM SOSIP and Mosaic SOSIPsGroup E: ConS UFO and ConM SOSIP and Mosaic SOSIPsGroup F: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup G: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup H: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup I: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup M: 763 SOSIP and AMC011 SOSIP and ConM SOSIP and Mosaic SOSIPs
EDC ConM SOSIPBIOLOGICAL

Chemically fixed version of recombinant HIV-1 trimeric gp140 Env: EDC ConM SOSIP. Model immunogens will be used at the dosage of 100 mcg and will be admixed with 500 mcg MPLA formulated in liposomes and administered by intramuscular injection into the left or right deltoid muscle.

Group B: EDC ConM SOSIP and Mosaic SOSIPs
ConS UFOBIOLOGICAL

Recombinant HIV-1 trimeric gp140 Env protein: ConS UFO gp140. Model immunogens will be used at the dosage of 50 mcg or 100 mcg and will be admixed with 500 mcg MPLA formulated in liposomes and administered by intramuscular injection into the left or right deltoid muscle

Group C: ConS UFO and Mosaic SOSIPsGroup E: ConS UFO and ConM SOSIP and Mosaic SOSIPsGroup F: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup G: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup H: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup I: Mosaic SOSIPs and ConM SOSIP and ConS UFO
EDC ConS UFOBIOLOGICAL

Chemically fixed version of recombinant HIV-1 trimeric gp140 Env : EDC-ConS UFO. Model immunogens will be used at the dosage of 100 mcg and will be admixed with 500 mcg MPLA formulated in liposomes and administered by intramuscular injection into the left or right deltoid muscle.

Group D: EDC ConS UFO and Mosaic SOSIPs
Mosaic SOSIPsBIOLOGICAL

Mosaic gp140 Env trimers (Mos3.1, Mos3.2, Mos3.3) designed to overcome the immunodominance of hypervariable regions of Env. The immunogen will be used at the dosage of 100 mcg (100mcg or 2 x 50 mcg or 3 x 33 mcg) or at 40 mcg (2 x 20mcg) and will be admixed with 500 mcg MPLA formulated in liposomes and administered by intramuscular injection into the left or right deltoid muscle.

Group A: ConM SOSIP and Mosaic SOSIPsGroup B: EDC ConM SOSIP and Mosaic SOSIPsGroup C: ConS UFO and Mosaic SOSIPsGroup D: EDC ConS UFO and Mosaic SOSIPsGroup E: ConS UFO and ConM SOSIP and Mosaic SOSIPsGroup F: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup G: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup H: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup I: Mosaic SOSIPs and ConM SOSIP and ConS UFOGroup M: 763 SOSIP and AMC011 SOSIP and ConM SOSIP and Mosaic SOSIPs
763 SOSIPBIOLOGICAL

HIV-1 envelope sequence, identified from two HIV infected individuals that displayed HIV neutralisation breadth early in infection (less than 12 months). The immunogen will be used at the dosage of 20 mcg or 50mcg or 100mcg and will be admixed with 500 mcg MPLA formulated in liposomes and administered by intramuscular injection into the left or right deltoid muscle.

Group J: 763 SOSIPGroup L: 763 SOSIP and AMC011 SOSIPGroup M: 763 SOSIP and AMC011 SOSIP and ConM SOSIP and Mosaic SOSIPs
AMC011 SOSIPBIOLOGICAL

HIV-1 envelope sequence, identified from two HIV infected individuals that displayed HIV neutralisation breadth early in infection (less than 12 months). The immunogen will be used at the dosage of 20 mcg or 50mcg or 100mcg and will be admixed with 500 mcg MPLA formulated in liposomes and administered by intramuscular injection into the left or right deltoid muscle.

Group K: AMC011 SOSIPGroup L: 763 SOSIP and AMC011 SOSIPGroup M: 763 SOSIP and AMC011 SOSIP and ConM SOSIP and Mosaic SOSIPs

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy male and female volunteers aged between 18 and 55 years.
  • Available for ALL follow-up visits for the duration of the study.
  • Entered and clearance obtained from The Over volunteering Prevention System (TOPS) database (to avoid impact of any co-administered investigational products or treatments on our outcomes).
  • Women of childbearing potential willing to use a highly effective method of contraception for the duration of the study until a minimum of 12 weeks after the final injection. Periodic abstinence (calendar, symptothermal and post-ovulation methods) and withdrawal are not acceptable methods of contraception.
  • Willing and able to give written informed consent.

You may not qualify if:

  • History of any medical, psychological or other condition, clinically significant laboratory result at screening, or use of any medications which, in the opinion of the investigators, would interfere with the study objectives or volunteers safety.
  • Any history of angioedema.
  • History of urticaria deemed significant by the Chief Investigator.
  • HIV-1 or HIV-2 antibody positive or indeterminate upon screening, or history of receipt of Env-based HIV immunogens (which would render the volunteers non-naive to the model immunogens).
  • Unable to read and/or speak English to a fluency level adequate for the full comprehension of study procedures and consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

NIHR Imperial Clinical Resarch Facility

London, W12 0HS, United Kingdom

Location

Related Publications (1)

  • Pollock KM, Cheeseman HM, McFarlane LR, Day S, Tolazzi M, Turner HL, Joypooranachandran J, Shramko K, Dispinseri S, Mundsperger P, Bontjer I, Lemm NM, Coelho S, Tanaka M, Cole T, Korber B, Katinger D, Sattentau QJ, Ward AB, Scarlatti G, Sanders RW, Shattock RJ. Experimental medicine study with stabilised native-like HIV-1 Env immunogens drives long-term antibody responses, but lacks neutralising breadth. EBioMedicine. 2025 Feb;112:105544. doi: 10.1016/j.ebiom.2024.105544. Epub 2025 Jan 2.

Study Officials

  • Katrina Pollock

    Imperial College London

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
Volunteers will be blinded to their treatment regimes, and laboratory teams undertaking immunological analysis will be blinded to group and dosing regimen to prevent in-house analysis bias. The clinical team will remain un-blinded throughout.
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Model Details: This is a single-blind study with volunteers being randomised into five groups of n=10 (Groups A-E) and eight groups of n=8 (Groups F-M), stratified by gender
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 22, 2019

First Posted

January 25, 2019

Study Start

March 19, 2019

Primary Completion

December 31, 2022

Study Completion

December 31, 2022

Last Updated

November 5, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will share

Results from this study will be disseminated locally and to the wider scientific community at conferences and in published open-access peer-reviewed journals, as appropriate. Any data used for publication will be fully anonymised. The investigators plan to publish the data and hold onto the data for 10 years.

Shared Documents
CSR
Time Frame
12 months from when the experimental study officially closes
Access Criteria
Directly from Professor Robin Shattock (r.shattock@imperial.ac.uk)

Locations