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Phase 2 N=240 Randomized Double-blind Prevention

Safety and Immunogenicity Study of a Candidate Tuberculosis Vaccine in Human Immunodeficiency Virus (HIV)-Positive Adults

Tuberculosis

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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