Phase 2
N=240
Safety and Immunogenicity Study of a Candidate Tuberculosis Vaccine in Human Immunodeficiency Virus (HIV)-Positive Adults
Tuberculosis
Bottom Line
View on ClinicalTrials.gov: NCT01262976 ↗Enrolled (actual)
240
Serious AEs
2.1%
Results posted
Sep 2018
Primary outcome: Primary: Number of Subjects With Grade 3 Solicited Local Symptoms — 1; 0; 1; 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- GSK's investigational vaccine 692342 (Biological); Physiological saline (Biological)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Jul 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Subjects With Grade 3 Solicited Local Symptoms |
1; 0; 1; 0; 2; 0 | — |
| PRIMARY Number of Subjects With Grade 3 Solicited General Symptoms |
0; 0; 0; 0; 1; 0 | — |
| PRIMARY Number of Subjects With Grade 3 Unsolicited Adverse Events (AEs) |
26; 27; 35; 33; 13; 13 | — |
| PRIMARY Number of Subjects With Serious Adverse Events (SAEs) |
1; 0; 2; 0; 0; 0 | — |
| PRIMARY Number of Subjects With Grade 3 and Grade 4 Haematological and Biochemical Levels |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Subjects With Grade 3 and 4 Haematological and Biochemical Levels |
0; 0; 0; 0; 0; 1 | — |
| PRIMARY Number of Subjects With Grade 3 and Grade 4 Haematological/Biochemical Levels |
0; 0; 0; 0; 0; 1 | — |
| PRIMARY Number of Subjects With Grade 3-4 Haematological and Biochemical Levels |
0; 1; 0; 0; 0; 1 | — |
| PRIMARY Number of Subjects With Grade 3-4 Haematological/Biochemical Levels |
1; 1; 1; 1; 0; 0 | — |
| SECONDARY Anti-Mycobacterium Tuberculosis Fusion Protein (M72) Specific Antibody Concentrations |
1.4; 1.4; 1.5; 1.4; 1.4; 1.5 | — |
| SECONDARY Number of Seroconverted Subjects for M72-specific Antibodies |
0; 0; 1; 0; 0; 2 | — |
| SECONDARY Frequency of M72-cluster of Differentiation 4 (CD4+) T-cells Expressing at Least 2 Immune Markers |
176.5; 279.5; 173.0; 145.0; 216.5; 290.0 | — |
| SECONDARY Frequency of M72-CD4+ T-cells Expressing Any Combination of Cytokines |
58.5; 86.5; 1.0; 23.0; 93.0; 105.0 | — |
| SECONDARY M72-cluster of Differentiation 4 (CD4+) T-cells Frequency Expressing Any Combination of Cytokines |
1.0; 1.0; 1.0; 1.0; 1.0; 14.5 | — |
| SECONDARY M72-CD4+ T-cells Frequency Expressing Any Combination of Cytokines |
1.0; 1.0; 1.0; 1.0; 1.0; 1.0 | — |
| SECONDARY Frequency of M72-cluster of Differentiation 8 (CD8+) T-cells Expressing at Least 2 Immune Markers |
71.5; 68.5; 58.5; 37.0; 65.0; 84.5 | — |
| SECONDARY Frequency of M72-CD8+ T-cells Expressing Any Combination of Cytokines |
1.0; 1.0; 1.0; 1.0; 1.0; 1.0 | — |
| SECONDARY M72-cluster of Differentiation 8 (CD8+) T Frequency Cells Expressing Any Combination of Cytokines |
1.0; 1.0; 1.0; 1.0; 1.0; 1.0 | — |
| SECONDARY M72-CD8+ T-cells Frequency Expressing Any Combination of Cytokines |
1.0; 1.0; 1.0; 1.0; 1.0; 1.0 | — |
| SECONDARY Number of Subjects With Any Solicited Local Symptoms |
12; 7; 6; 3; 8; 3 | — |
| SECONDARY Number of Subjects With Any Solicited General Symptoms |
2; 0; 1; 0; 2; 0 | — |
| SECONDARY Number of Subjects With Any Unsolicited AEs |
26; 27; 35; 33; 13; 13 | — |
| SECONDARY Number of Subjects With SAEs |
2; 0; 2; 0; 0; 0 | — |
| SECONDARY Number of Subjects Presenting Different Grades of Haematological and Biochemical Values |
19; 28; 26; 27; 21; 23 | — |
Summary
The purpose of the study is to assess the safety and immunogenicity of a GlaxoSmithKline (GSK) Biologicals' candidate tuberculosis vaccine (692342) administered to Human Immunodeficiency Virus (HIV)-positive adults aged 18 to 59 years, living in a tuberculosis endemic region.
Subjects will be followed-up for 3 years.
Subjects will be enrolled in 3 cohorts:
* HIV-positive adults on highly active antiretroviral therapy
* HIV-positive adults not on highly active antiretroviral therapy
* HIV-negative adults
Each cohort will have 2 groups.
Eligibility Criteria
Inclusion Criteria
- Subjects who the investigator believes that they can and will comply with the requirements of the protocol.
- A male or female between, and including, 18 and 59 years of age at the time of the first vaccination.
- Written informed consent obtained from the subject prior to any study procedure.
- Female subjects of non-childbearing potential may be enrolled in the study.
- Female subjects of childbearing potential may be enrolled in the study, if the subject:
- has practiced adequate contraception for 30 days prior to vaccination,
- has a negative pregnancy test on the day of vaccination, and
- has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series.
- Clinically acceptable laboratory values at screening as determined by the investigator.
- No evidence of tuberculosis disease with no evidence of pulmonary pathology as confirmed by chest X-ray.
- No history of extra pulmonary tuberculosis.
- Based on their medical history, all subjects must have no history of chemotherapy for tuberculosis.
Additional inclusion criteria for subjects to be enrolled in HIV+ on highly active antiretroviral therapy cohort:
- Subjects must be HIV-positive and under care of a physician for at least 6 months.
- Subjects must have a CD4+T cell count >= 250 cells/mm3 at screening.
- Subjects must be stable on highly active antiretroviral therapy for at least 6 months, with an undetectable HIV viral load level at screening.
Additional inclusion criteria for subjects to be enrolled in HIV+ treatment naïve cohort:
- Subjects must be HIV-positive and under care of a physician for at least 6 months
- Subjects must be highly active antiretroviral therapy-naïve (never received anti-retroviral therapy after HIV diagnosis)
- Subjects must have a CD4 + T cell count above 350 cells/mm3 at screening.
- Subjects for whom commencement of highly active antiretroviral therapy is not expected based on current assessment within next year.
- Subjects must have a viral load between 5000 - 80000 copies/mL at screening.
Additional inclusion criteria for subjects to be enrolled in HIV-negative cohort
- Subjects must be negative for HIV-1.
Exclusion Criteria
- Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
- Administration of a registered live vaccine not foreseen by the study within 30 days preceding the first dose of study vaccine and administration of a registered inactivated vaccine within 14 days preceding the first dose of study vaccine.
- History of previous administration of experimental Mtb vaccines.
- History of previous exposure to components of the investigational vaccine within 30 days preceding the first dose of study vaccine
- Chronic administration of immunosuppressant or other immune-modifying drugs within six months prior to the first vaccine/product dose. For corticosteroids, this will mean prednisone >= 20 mg/kg/day, or equivalent. Inhaled and topical steroids are allowed.
- Any condition or illness or medication, which in the opinion of the Investigator might interfere with the evaluation of the safety or immunogenicity of the vaccine.
- Planned participation or participation in another experimental protocol with an experimental product during the study period.
- Administration of any immunoglobulin, any immunotherapy and/or any blood products within the three months preceding the first dose of study vaccination, or planned administrations during the study period.
- Subjects taking any of the following medication: chronic administration of systemic steroids, interleukins, systemic interferon or systemic chemotherapy.
- History of allergic reactions or anaphylaxis to any drug or vaccine.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
- History of chronic alcoh
Data sourced from ClinicalTrials.gov (NCT01262976). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.