Safety, Tolerability, and Immunogenicity of the Human Cytomegalovirus Vaccine (V160) in Healthy Adults (V160-001)
A Phase 1 Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Study to Evaluate the Safety, Tolerability, and Immunogenicity of the Human Cytomegalovirus Vaccine (V160) in Healthy Adults
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
- Biological: V160 Low Dose IM
- Biological: V160 Medium Dose IM
- Biological: V160 High Dose IM
- Biological: V160 Medium Dose plus Merck Aluminum Phosphate Adjuvant (MAPA) 225 µg /dose IM
- Biological: V160 High Dose plus MAPA 225 µg /dose IM
- Biological: V160 Maximum Dose IM
- Other: Placebo IM
- Biological: V160 Medium Dose ID
- Other: Placebo ID
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy based on medical history and physical examination
- Serologically confirmed to be HCMV seronegative or HCMV seropositive
- Agrees to avoid unusual, unaccustomed strenuous, vigorous physical exercise/activity from 72 hours before through 72 hours after each dose of study vaccine
- Body weight ≥110 lbs (50 kg) and body mass index (BMI) of 19 to 32 kg/m^2
- If of reproductive potential, agrees to the following during the study and for 4 weeks after the last dose of study vaccine: 1) practice abstinence from heterosexual activity, or 2) use or have their partner use 2 allowable methods of birth control during heterosexual activity
Exclusion Criteria:
- Has previously received any cytomegalovirus vaccine
- Has history of allergic reaction or anaphylactic reaction to any vaccine component that required medical intervention
- Has history of any severe allergic reaction that required medical intervention
- Is pregnant or breastfeeding or expecting to conceive from 2 weeks before the study through 1 month after the last dose of study vaccine
- Plans to donate eggs or sperm from study start through 1 month after the last dose of study drug
- Has impairment of immunologic function including, but not limited to autoimmune disease, splenectomy, or human immunodeficiency virus acquired immunodeficiency syndrome (HIV/AIDS)
- Received systemic corticosteroids for ≥14 consecutive days and has not completed treatment within 30 days of study start
- Received immunosuppressive therapy including, but not limited to rapamycin and equivalents, tacrolimus, FK-506, fujimycin, or other therapies used for solid organ/cell transplant, radiation therapy, immunosuppressive/cytotoxic chemotherapy, or other therapy known to interfere with the immune response within 1 year of study start
- Has a condition in which repeated venipuncture or injections pose more than minimal risk, such as hemophilia, thrombocytopenia or other severe coagulation disorders, or significantly impaired venous access
- Has a condition that requires active medical intervention or monitoring such as diabetes mellitus, autoimmune disease, or a clinically significant chronic medical condition that is considered progressive
- Has history within the past 5 years or current drug or alcohol abuse
- Has major psychiatric illness
- Is legally or mentally incapacitated
- Has participated in another clinical study in the past 4 weeks, or plans during the present study to participate in a treatment-based study or a study in which an invasive procedure is performed
- Has received valganciclovir, ganciclovir, valacyclovir, foscarnet, or cidofovir from 4 weeks prior to 1 month following each V160 vaccination
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: HCMV seropositive (+) V160 Low Dose Intramuscular (IM)
Participants seropositive for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV seronegative (-) V160 Low Dose IM
Participants seronegative for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV+ V160 Medium Dose IM
Participants seropositive for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV- V160 Medium Dose IM
Participants seronegative for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV+ V160 High Dose IM
Participants seropositive for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV- V160 Medium Dose plus MAPA 225 µg IM
Participants seronegative for HCMV at Baseline will receive vaccination with V160 plus MAPA adjuvant by IM injection on Day 1, Month 1, and Month 6
|
V160 plus MAPA administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV- V160 High Dose IM
Participants seronegative for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV+ V160 High Dose plus MAPA 225 µg IM
Participants seropositive for HCMV at Baseline will receive vaccination with V160 plus MAPA adjuvant by IM injection on Day 1, Month 1, and Month 6
|
V160 plus MAPA administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV+ V160 Maximum Dose IM
Participants seropositive for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV- V160 High Dose plus MAPA 225 µg IM
Participants seronegative for HCMV at Baseline will receive vaccination with V160 plus MAPA adjuvant by IM injection on Day 1, Month 1, and Month 6
|
V160 plus MAPA administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV- V160 Maximum Dose IM
Participants seronegative for HCMV at Baseline will receive V160 vaccination by IM injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.75 mL intramuscular injection
|
|
PLACEBO_COMPARATOR: HCMV+ Placebo IM
Participants seropositive for HCMV at Baseline will receive placebo by IM injection on Day 1, Month 1, and Month 6
|
Placebo administered as a 0.75 mL intramuscular injection
|
|
PLACEBO_COMPARATOR: HCMV- Placebo IM
Participants seronegative for HCMV at Baseline will receive placebo by IM injection on Day 1, Month 1, and Month 6
|
Placebo administered as a 0.75 mL intramuscular injection
|
|
EXPERIMENTAL: HCMV+ V160 Medium Dose Intradermal (ID)
Participants seropositive for HCMV at Baseline will receive V160 vaccination by ID injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.1 mL intradermal injection
|
|
EXPERIMENTAL: HCMV- V160 Medium Dose ID
Participants seronegative for HCMV at Baseline will receive V160 vaccination by ID injection on Day 1, Month 1, and Month 6
|
V160 administered as a 0.1 mL intradermal injection
|
|
PLACEBO_COMPARATOR: HCMV+ Placebo ID
Participants seropositive for HCMV at Baseline will receive placebo by ID injection on Day 1, Month 1, and Month 6
|
Placebo administered as a 0.1 mL intradermal injection
|
|
PLACEBO_COMPARATOR: HCMV- Placebo ID
Participants seronegative for HCMV at Baseline will receive placebo by ID injection on Day 1, Month 1, and Month 6
|
Placebo administered as a 0.1 mL intradermal injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With an Adverse Event (AE)
Time Frame: Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol specified procedure, whether or not considered related to the medicinal product or protocol - specified procedure.
Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE.
|
Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
|
Percentage of Participants With an Injection-site AE
Time Frame: Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
Injection-site AEs are defined as redness, swelling, and pain/tenderness.
|
Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
|
Percentage of Participants With a Systemic AE
Time Frame: Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
A Systemic AE includes, but is not exclusive of, the following AEs: fatigue, myalgia, headache and joint pain
|
Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
|
Percentage of Participants With a Serious Adverse Event (SAE)
Time Frame: Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
A serious adverse event is any adverse event occurring at any dose or during any use of Sponsor's product that does the following: results in death; is life threatening; results in persistent or significant disability/incapacity; results in or prolongs an existing inpatient hospitalization; is a congenital anomaly/birth defect; is a cancer; is associated with an overdose; is another important medical event
|
Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
|
Percentage of Participants With a Serious Vaccine-Related Adverse Event
Time Frame: Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
A serious adverse event is any adverse event occurring at any dose or during any use of Sponsor's product that does the following: results in death; is life threatening; results in persistent or significant disability/incapacity; results in or prolongs an existing inpatient hospitalization; is a congenital anomaly/birth defect; is a cancer; is associated with an overdose; is another important medical event.
A serious vaccine-related adverse event was determined by the investigator to be related to the vaccine.
|
Up to 2 weeks after vaccination on Day 1, Month 1 and Month 6 (up to Day 15, Week 6 and Week 26)
|
|
Percentage of Participants Who Discontinued Study Treatment Due to an AE
Time Frame: Up to Month 6
|
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol specified procedure, whether or not considered related to the medicinal product or protocol - specified procedure.
Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE.
|
Up to Month 6
|
|
Percentage of Participants With Events of Clinical Interest (ECI)
Time Frame: Up to 18 months
|
An event of clinical interest (ECI) is identified as any overdose, elevated liver values meeting threshold criteria (aspartate aminotransferase or alanine aminotransferase ≥3x upper limit of normal (ULN); total bilirubin ≥2x ULN, and, at the same time, alkaline phosphatase <2xULN).
Additionally, confirmed, diagnosed autoimmune conditions are considered ECIs.
|
Up to 18 months
|
|
Geometric Mean Titer of HCMV-specific Neutralizing Antibody After Vaccination 3
Time Frame: Month 7 (1 month after vaccination 3 at Month 6)
|
Serum samples for measuring neutralizing antibodies using the Merck Neutralizing Antibody (NAb) assay were collected at month 7.
The LiCor-based near-infrared dye (NIRDye) In-Cell Western (ICW) HCMV microneutralization assay was used to detect and quantify anti-HCMV neutralizing antibodies.
The primary hypothesis was that for HCMV-seronegative participants, at least 1 of the vaccination groups receiving V160 formulated with or without adjuvant would exhibit higher HCMV-specific neutralizing antibody titers than the placebo group.
|
Month 7 (1 month after vaccination 3 at Month 6)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Geometric Mean Count of Peripheral Blood Mononuclear Cells Secreting Interferon-Gamma
Time Frame: Month 7 (1 month after vaccination 3 at Month 6)
|
In order to evaluate the cellular immune response to the vaccine(s), the HCMV enzyme-linked immunospot (ELISPOT) assay was used to detect interferon gamma (IFN-γ) secreting HCMV-specific cells from peripheral blood mononuclear cells (PBMCs).
Results are expressed as the frequency of spot forming cells (SFCs) per million PBMCs (SFC/10^6 PBMCs).
Results are presented for the following HCMV proteins: pp65, Immediate early Protein 1 (IE1), Immediate early Protein 2 (IE2), Glycoprotein B (gB), and also for purified HCMV virion stock.
|
Month 7 (1 month after vaccination 3 at Month 6)
|
|
Geometric Mean Concentration of Interferon-Gamma After Stimulation of Whole Blood Sample With Pooled HCMV Antigen Peptides
Time Frame: Month 7 (1 month after vaccination 3 at Month 6)
|
In response to HCMV-specific stimulation of whole blood specimens the whole Blood Cytokine Stimulation (WBStim) assay was used to detect the secretion of interferon gamma (IFN -γ) by an ELISA assay.
Results are presented for the following HCMV proteins: pp65, IE1, and gB.
|
Month 7 (1 month after vaccination 3 at Month 6)
|
|
Geometric Mean Titer of HCMV-specific Neutralizing Antibody After Vaccinations 1 and 2
Time Frame: Month 1 and 2 (one month after vaccination 1 [Day 1] and vaccination 2 [Month 1])
|
Serum samples for measuring neutralizing antibodies using the Merck NAb assay were collected at months 1 and 2. The LiCor-based near-infrared dye (NIRDye) In-Cell Western (ICW) HCMV microneutralization assay was used to detect and quantify anti-HCMV neutralizing antibodies.
Values below the lower limit of titer are represented by NA.
|
Month 1 and 2 (one month after vaccination 1 [Day 1] and vaccination 2 [Month 1])
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Cox KS, Zhang L, Freed DC, Tang A, Zhang S, Zhou Y, Wang IM, Rupp RE, Adler SP, Musey LK, Wang D, Vora KA, Fu TM. Functional Evaluation and Genetic Evolution of Human T-Cell Responses After Vaccination With a Conditionally Replication-Defective Cytomegalovirus Vaccine. J Infect Dis. 2021 Jun 4;223(11):2001-2012. doi: 10.1093/infdis/jiaa631.
- Adler SP, Lewis N, Conlon A, Christiansen MP, Al-Ibrahim M, Rupp R, Fu TM, Bautista O, Tang H, Wang D, Fisher A, Culp T, Das R, Beck K, Tamms G, Musey L; V160-001 Study Group. Phase 1 Clinical Trial of a Conditionally Replication-Defective Human Cytomegalovirus (CMV) Vaccine in CMV-Seronegative Subjects. J Infect Dis. 2019 Jul 2;220(3):411-419. doi: 10.1093/infdis/jiz141.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- V160-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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