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Safety of Tuberculosis Vaccine, MVA85A, Administered by the Intramuscular Route and the Intradermal Route

25 de marzo de 2011 actualizado por: University of Oxford

Safety and Immunogenicity of Candidate Tuberculosis (TB) Vaccine MVA85A Administered by the Intramuscular Route and the Intradermal Route: a Phase I Randomised Active Controlled Trial

This is a phase I study that will compare the safety and immunogenicity of candidate tuberculosis (TB) vaccine MVA85A administered by the intramuscular route and the intradermal route in healthy adult individuals who have been previously vaccinated with Bacillus Calmette-Guerin (BCG).

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

We postulate that the intramuscular route is not inferior to the intradermal route of administration of MVA85A in BCG vaccinated adults when evaluated for safety and immunogenicity.

If MVA85A can be given safely by intramuscular route and it is at least equally immunogenic and efficacious in a prime-boost strategy, then it would probably be the preferred route in subsequent phase II and III trials. There are several reasons for this:

  • Reduced pain associated with injection.
  • Reduced local reaction at the injection site.
  • More straightforward procedure; less technically demanding; less time consuming.
  • Easier production and storage of vaccine.
  • Larger volume of vaccine can be given.

Trials of MVA85A to date have established 1 x 10^8 pfu as the optimal dose for intradermal injection in adults. We therefore intend to administer this same dose intramuscularly in order to directly compare the two routes for both safety and immunogenicity. These results will guide future trials in which the intramuscular route, if safe, could be further evaluated at either higher or lower dose depending on immunogenicity at 1 x 10^8 pfu dosage.

Tipo de estudio

Intervencionista

Inscripción (Anticipado)

24

Fase

  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Oxford, Reino Unido, OX3 7LJ
        • Centre of Clinical Vaccinology and Tropical Medicine (CCVTM) Churchill Hospital

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 55 años (Adulto)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. Healthy adult aged 18 - 55 years (both male and female)
  2. Resident in or near Oxford for the duration of the study period
  3. Confirmation of prior vaccination with BCG not less than 3 months prior to projected study vaccination date (by visible BCG scar on examination or written documentation)
  4. Normal medical history and physical examination
  5. Willingness to allow the Investigators to discuss the individual's medical history with their GP
  6. Willingness to use continuous effective barrier contraception for three months after receiving the vaccination (males and females)
  7. Willingness to use effective contraception for the duration of the study period (females only)
  8. Agreement to refrain from blood donation during the course of the study
  9. Give written informed consent
  10. Agreement to allow the Investigator to register volunteer details with a confidential database to prevent concurrent entry into clinical trials
  11. Able and willing (in the Investigator's opinion) to comply with all the study requirements

Exclusion Criteria:

  1. Clinical, radiological, or laboratory evidence of current active TB infection
  2. Laboratory evidence at screening of latent TB infection as indicated by a positive ELISPOT test (greater than 17 sfc/million PBMC) in any ESAT6 peptide or CFP10 peptide poola
  3. Previous vaccination with candidate vaccine MVA85A or another recombinant MVA vaccine
  4. Clinically significant history of skin disorder, allergy, immunodeficiency (including human immunodeficiency virus [HIV]), cancer (except basal cell carcinoma [BCC] or carcinoma in situ [CIS]), cardiovascular disease, respiratory disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, neurological illness, psychiatric disorder, drug or alcohol abuse
  5. History of serious psychiatric condition
  6. Concurrent oral or systemic steroid medication or the use of other immunosuppressive agents
  7. History of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the study vaccine
  8. Any clinically significant abnormality of screening blood or urine tests
  9. Positive hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) or HIV antibodies
  10. Female currently lactating, confirmed pregnancy or intention to become pregnant during study period
  11. Use of an investigational medicinal product or non-registered drug, live vaccine, or medical device other than the study vaccine for 30 days prior to dosing with the study vaccine, or planned use during the study period
  12. Administration of immunoglobulins and/or any blood products within the three months preceding the planned trial vaccination date
  13. Any other significant disease, disorder, or finding, which, in the opinion of the Investigator, may either put the volunteer at risk or may influence the result of the study or may affect the volunteer's ability to participate in the study

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Group A
Intramuscular immunisation
Single injection of 1 x 108 pfu MVA85A
Experimental: Group B
Intradermal immunisation
Single injection of 1 x 108 pfu MVA85A

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Safety
Periodo de tiempo: 6 months following vaccination
Safety data in both groups, as assessed by the frequency, incidence, and nature of adverse events (AEs) and serious adverse events (SAEs) during the study. Safety is measured throughout the 6 months follow up period, but specifically on the following days: 2, 7, 14, 28, 56, 84 and 168 and. Blood for safety testing is taken at Days 7 and 28.
6 months following vaccination

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Immunogenicity
Periodo de tiempo: 6 months following vaccination
Immunogenicity data in both groups. This will be obtained from exploratory immunological laboratory investigations on blood samples taken at screening, and throughout follow up. Immunogenicity is measured throughout the 6 months follow up period, but specifically on the following days: 2, 7, 14, 28, 56, 84 and 168.
6 months following vaccination

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de enero de 2010

Finalización primaria (Actual)

1 de enero de 2011

Finalización del estudio (Actual)

1 de enero de 2011

Fechas de registro del estudio

Enviado por primera vez

11 de agosto de 2010

Primero enviado que cumplió con los criterios de control de calidad

11 de agosto de 2010

Publicado por primera vez (Estimar)

13 de agosto de 2010

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

28 de marzo de 2011

Última actualización enviada que cumplió con los criterios de control de calidad

25 de marzo de 2011

Última verificación

1 de marzo de 2011

Más información

Términos relacionados con este estudio

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Ensayos clínicos sobre Tuberculosis

Ensayos clínicos sobre MVA 85A

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