Phase 1
Completed N=117
Evaluating the Safety and Immunogenicity of EnvSeq-1 and CH505 M5 gp120 Envs Adjuvanted With GLA-SE in Healthy, HIV-Uninfected Adults
Source: ClinicalTrials.gov NCT03220724 ↗Enrolled (actual)
117
Serious AEs
1.7%
Results posted
Feb 2023
Primary outcomePrimary: Part A: Number of Participants Reporting Local Reactogenicity Signs and Symptoms During the Vaccine Regime — 1; 0; 2; 5 Participants
Summary
The purpose of this study is to evaluate the safety, tolerability, and immunogenicity of EnvSeq-1 and CH505 M5 gp120 Envs adjuvanted with GLA-SE in healthy, HIV-uninfected adults.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part A: Number of Participants Reporting Local Reactogenicity Signs and Symptoms During the Vaccine Regime |
1; 0; 2; 5; 7; 8 | — |
| PRIMARY Part A: Number of Participants Reporting Systemic Reactogenicity Signs and Symptoms During the Vaccine Regime |
5; 4; 5; 4; 3; 4 | — |
| PRIMARY Part A: Number of Participants With Early Study Termination Associated With an Adverse Event (AE) or Reactogenicity During the Vaccine Regime |
0; 0; 0; 0 | — |
| PRIMARY Part A: Number of Participants With Study Product Discontinuation Associated With an AE or Reactogenicity |
1; 1; 0; 0; 0; 0 | — |
| PRIMARY Part A: Chemistry and Hematology Laboratory Measures, for Each Boost: Alkaline Phosphatase, Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) in U/L |
18.5; 20.5; 22; 19; 19; 18 | — |
| PRIMARY Part A: Chemistry and Hematology Laboratory Measures, for Each Boost: Hemoglobin, Creatinine in g/dL |
14; 14.5; 14.6; 13.75; 13.6; 13.6 | — |
| PRIMARY Part A: Chemistry and Hematology Laboratory Measures, for Each Boost: White Blood Cell (WBC), Platelets, Lymphocytes, Neutrophils |
226.5; 229.95; 249.35; 262.8; 243; 232.85 | — |
| PRIMARY Part A: Occurrence of HIV-specific Immunoglobulin G (IgG) Responses 2 Weeks After the Third Vaccination With CH505TF gp120 |
8; 8; 9; 0; 8; 8 | — |
| PRIMARY Part A: Level of HIV-specific IgG Responses 2 Weeks After the Third Vaccination With CH505TF gp120 |
27266.375; 27854.25; 28419.25; 1; 24789.25; 26439.75 | — |
| PRIMARY Part A: Occurrence of HIV-specific Immunoglobulin A (IgA) Responses 2 Weeks After the Third Vaccination With CH505TF gp120 |
8; 6; 11; 0; 8; 6 | — |
| PRIMARY Part A: Level of HIV-specific IgA Responses 2 Weeks After the Third Vaccination With CH505TF gp120 |
1379.5; 3116.125; 3498; 1; 1812; 1718.5 | — |
| PRIMARY Number of Part B Participants Reporting Local Reactogenicity Signs and Symptoms |
4; 3; 0; 4; 9; 12 | — |
| PRIMARY Number of Part B Participants Reporting Systemic Reactogenicity Signs and Symptoms |
7; 5; 3; 3; 4; 9 | — |
| PRIMARY Part B: Number of Participants With Early Study Termination Associated With an AE or Reactogenicity During the Vaccine Regime |
0; 0; 0; 0 | — |
| PRIMARY Number of Part B Participants With Study Product Discontinuation Associated With an AE or Reactogenicity |
1; 0; 0; 0; 0; 0 | — |
| PRIMARY Part B Chemistry and Hematology Laboratory Measures, for Each Boost: Alkaline Phosphatase, AST, ALT in U/L |
16; 18.5; 16.5; 16; 14.5; 18 | — |
| PRIMARY Part B Chemistry and Hematology Laboratory Measures, for Each Boost: Hemoglobin, Creatinine in g/dL |
13.7; 14.65; 14.35; 14.2; 13.7; 14.05 | — |
| PRIMARY Part B Chemistry and Hematology Laboratory Measures |
5.63; 6.15; 6.12; 6.9; 5.695; 5.95 | — |
| PRIMARY Part B Magnitude and Breadth of Neutralizing Antibody Response Against Autologous Viral Isolates and Related CH103 and CH235 Precursor Detection Isolates 2 Weeks After the Fourth Vaccinations |
1.1384246921; 1.1849438379; 1.1194766117; 0.6989700043 | — |
| PRIMARY Part B Magnitude and Breadth of Neutralizing Antibody Responses Against a Panel of Heterologous Tier 2 Isolates Induced 2 Weeks After the Fourth Vaccinations |
0.6989700043; 0.7500872649; 0.6989700043; 0.6989700043 | — |
| PRIMARY Number of Part C Participants Reporting Local Reactogenicity Signs and Symptoms |
1; 6; 3; 0; 0; 1 | — |
| PRIMARY Number of Part C Participants Reporting Systemic Reactogenicity Signs and Symptoms |
2; 4; 4; 0; 0; 5 | — |
| PRIMARY Part C: Number of Participants With Early Study Termination Associated With an AE or Reactogenicity During the Vaccine Regime |
— | — |
| PRIMARY Number of Part C Participants With Study Product Discontinuation Associated With an AE or Reactogenicity |
0; 1; 0; 0; 9 | — |
| PRIMARY Part C Chemistry and Hematology Laboratory Measures, for Each Boost: Alkaline Phosphatase, AST, ALT in U/L |
13; 13; 14; 13; 14; 17.5 | — |
| PRIMARY Part C Chemistry and Hematology Laboratory Measures, for Each Boost: Hemoglobin, Creatinine in g/dL |
14.45; 13.85; 14.3; 13.9; 13.6; 0.000815 | — |
| PRIMARY Part C Chemistry and Hematology Laboratory Measures |
5.95; 6.08; 6.67; 6.2; 7.62; 3.783 | — |
| SECONDARY Part C Magnitude and Breadth of Neutralizing Antibody Response Against Autologous Viral Isolates and Related CH103 and CH235 Precursor Detection Isolates 2 Weeks After the Third (Final) Vaccination |
0.9919921716 | — |
| SECONDARY Part C Magnitude and Breadth of Neutralizing Antibody Responses Against a Panel of Heterologous Tier 2 Isolates Induced 2 Weeks After the Third (Final) Vaccination |
0.8284675826 | — |
| SECONDARY Part A: Occurence of Memory B Cells Differentially Binding to the CH505 Wildtype gp120 TF Env vs the Mutant CH505 Env I Delta 371 gp120 2 Weeks After the Third Vaccination With CH505TF gp120 |
9; 9; 11; 0; 10; 9 | — |
| SECONDARY Part A: Level of Memory B Cells Differentially Binding to the CH505 Wildtype gp120 TF Env vs the Mutant CH505 Env I Delta 371 gp120 2 Weeks After the Third Vaccination With CH505TF gp120 |
0.0336336336; 0.0383802953; 0.033951166; 0.0052190432; 0.3432494279; 0.2227163176 | — |
| SECONDARY Part A: Magnitude and Breadth of Neutralizing Antibody Responses Against Autologous Viral Isolates as Assessed by Area Under the Magnitude-breadth Curves 2 Weeks After the Third Vaccination With CH505TF gp120 |
0.94; 0.93; 0.97; 0.70 | — |
| SECONDARY Part A: Occurrence of CD4+ T-cell Responses as Assessed by Intracellular Cytokine Staining Assays (ICS) 2 Weeks After the Third and Fifth Vaccination With CH505TF |
4; 6; 5; 0; 4; 2 | — |
| SECONDARY Part A: Level of CD4+ T-cell Responses as Assessed by Intracellular Cytokine Staining Assays (ICS) 2 Weeks After the Third and Fifth Vaccination With CH505TF |
0.07193596; 0.132646355; 0.073603225; 0.00911761; 0.07052576; 0.04367241 | — |
| SECONDARY Part A: Occurrence of Monoclonal Antibodies Evaluated for CD4 Binding Site Loop Binding |
11; 11; 12; 0; 11; 11 | — |
| SECONDARY Part A: Level of Monoclonal Antibodies Evaluated for CD4 Binding Site Loop Binding |
6.6971124919; 6.8592025102; 7.5422612265; 0.229304475; 6.1512380643; 6.5292373784 | — |
| SECONDARY Part B: Occurrence of HIV-specific Binding Antibody (Ab) Responses as Assessed by Binding Ab Multiplex Assay 2 Weeks After the Second and After the Fourth Vaccinations |
19; 19; 18; 0; 16; 18 | — |
| SECONDARY Part B: Level of HIV-specific Binding Ab Responses as Assessed by Binding Ab Multiplex Assay 2 Weeks After the Second and After the Fourth Vaccinations |
22000; 22000; 22000; 1.3; 22000; 22000 | — |
| SECONDARY Part B: Occurrence of CD4+ T-cell Responses as Assessed by Intracellular Cytokine Staining (ICS) Assays 2 Weeks After the Second and Fourth (Final) Vaccinations With EnvSeq-1 Immunogens or CH505 M5 gp120 |
— | — |
| SECONDARY Part B: Level of CD4+ T-cell Responses as Assessed by Intracellular Cytokine Staining (ICS) Assays 2 Weeks After the Second and Fourth (Final) Vaccinations With EnvSeq-1 Immunogens or CH505 M5 gp120 |
— | — |
| SECONDARY Part B: Occurrence of Monoclonal Antibodies Evaluated for CD4 Binding Site Loop Binding |
— | — |
| SECONDARY Part B: Level of Monoclonal Antibodies Evaluated for CD4 Binding Site Loop Binding |
— | — |
| SECONDARY Part C: Percent B Cells Expressing Candidate CH103 Precursors With Immunogenetics, Function, and Structure Similar to CH103 Lineage Antibodies |
— | — |
| SECONDARY Part C: Alterations in Frequency of CH103-like Precursor B Cells Prior to CH505 TF (First) Vaccination and After the Final Vaccination |
— | — |
| SECONDARY Part C: Characterization of B-cell Derived Antibodies (Binding, Neutralization and Structure Compared With the CH103 Lineage Members, Including the UCA) |
— | — |
| SECONDARY Part C: Occurrence of HIV-specific IgG Responses as Assessed by Binding Ab Multiplex Assay 2 Weeks After the Final Vaccination |
9; 9; 9; 9; 9; 9 | — |
| SECONDARY Part C: Level of HIV-specific Binding Ab Responses as Assessed by Binding Ab Multiplex Assay 2 Weeks After the Final Vaccination |
22000; 22000; 22000; 22000; 22000; 22000 | — |
| SECONDARY Part C: Frequencies, Specificity and Phenotype of Vaccine-induced B-cell Responses as Measured by Multiparameter Flow Cytometry After Each Vaccination Compared to Baseline |
— | — |
| SECONDARY Part C: Characterization of the B-cell Derived Antibodies (Binding of CH505 TF, wk53, wk78 Proteins), Neutralization of Autologous or Mutant CH505 Viruses, and Structure |
— | — |
| SECONDARY Part C: Response Rate and Magnitude of CD4+ T-cell Responses as Assessed by ICS Assays 2 Weeks After the Final Vaccination |
— | — |
Eligibility Criteria
Inclusion Criteria
General and Demographic Criteria:
- Age of 18 through 50 years
- Access to a participating HIV Vaccine Trials Network (HVTN) clinical research site (CRS) and willingness to be followed for the planned duration of the study
- Ability and willingness to provide informed consent
- Assessment of understanding: volunteer demonstrates understanding of this study, completes a questionnaire prior to first vaccination with verbal demonstration of understanding of all questionnaire items answered incorrectly
- Agrees not to enroll in another study of an investigational research agent before the last required protocol clinic visit
- Willing to be contacted by phone, text message, or e-mail 6 months after completion of the scheduled clinic visits
- Good general health as shown by medical history, physical exam, and screening laboratory tests
HIV-Related Criteria:
- Willingness to receive HIV test results
- Willingness to discuss HIV infection risks and amenable to HIV risk reduction counseling.
- Assessed by the clinic staff as being at "low risk" for HIV infection and committed to maintaining behavior consistent with low risk of HIV exposure through the last required protocol clinic visit.
Laboratory Inclusion Values:
Hemogram/Complete Blood Count (CBC):
- Hemoglobin greater than or equal to 11.5 g/dL for volunteers who were born female, greater than or equal to 13.0 g/dL for volunteers who were born male
- White blood cell count equal to 3,300 to 12,000 cells/mm^3
- Total lymphocyte count greater than or equal to 800 cells/mm^3
- Remaining differential either within institutional normal range or with site physician approval
- Platelets equal to 125,000 to 550,000/mm^3
Chemistry:
- Chemistry panel: alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase less than 1.25 times the institutional upper limit of normal; creatinine less than or equal to institutional upper limit of normal.
Virology:
- Negative HIV-1 and -2 blood test: Volunteers must have a negative Food and Drug Administration (FDA)-approved enzyme immunoassay (EIA) or chemiluminescent microparticle immunoassay (CMIA).
- Negative Hepatitis B surface antigen (HBsAg)
- Negative anti-Hepatitis C virus antibodies (anti-HCV), or negative HCV polymerase chain reaction (PCR) if the anti-HCV is positive
Urine:
- Normal urine:
- Negative urine glucose, and
- Negative or trace urine protein, and
- Negative or trace urine hemoglobin (if trace hemoglobin is present on dipstick, a microscopic urinalysis with red blood cells levels within institutional normal range).
Reproductive Status:
- Volunteers who were born female: negative serum or urine beta human chorionic gonadotropin (beta-HCG) pregnancy test performed prior to vaccination on the day of initial vaccination. Persons who are NOT of reproductive potential due to having undergone total hysterectomy or bilateral oophorectomy (verified by medical records), are not required to undergo pregnancy testing.
- Reproductive status: A volunteer who was born female must:
- Agree to consistently use effective contraception (see the protocol for more information) for sexual activity that could lead to pregnancy from at least 21 days prior to enrollment through the last required protocol clinic visit. Effective contraception is defined as using the following methods:
- Condoms (male or female) with or without a spermicide,
- Diaphragm or cervical cap with spermicide,
- Intrauterine device (IUD),
- Hormonal contraception, or
- Any other contraceptive method approved by the HVTN 115 Protocol Safety Review Team (PSRT)
- Successful vasectomy in the male partner (considered successful if a volunteer reports that a male partner has [1] documentation of azoospermia by microscopy, or [2] a vasectomy more than 2 years ago with no resultant pregnancy despite sexual activity postvasectomy);
- Or not be of reproductive potential, such as having reached menopause (no menses for 1 year) or
Data sourced from ClinicalTrials.gov (NCT03220724). 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. Informational only — not medical advice.