Un essai clinique de phase 1 de candidats vaccins contre le VHC à base de protéines adjuvées (Essai de vaccin contre le VHC)
Un essai clinique de phase 1 de candidats vaccins contre le VHC à base de protéines adjuvées (Essai du vaccin contre le VHC)
The purpose of this study is to investigate the safety and antibody (germ fighters) response of the experimental (investigational) vaccine against HCV when injected into the arm of healthy adults.
Aperçu de l'étude
Statut
Statut
Les conditions
Les conditions
Intervention / Traitement
Intervention / Traitement
Description détaillée
The Hepatitis C Virus (HCV) continues to be a significant public health threat, infecting 58 million people worldwide and over 250,000 Canadians. The virus disproportionately affects marginalized populations. It is a bloodborne virus that affects the liver and is most commonly spread through unsafe injection practices, sexual practices that lead to blood exposures, and unsafe health care (i.e., transfusion of contaminated blood and blood products). If left untreated, these infections progress to chronic hepatitis, liver cirrhosis (liver failure) and potentially hepatocellular carcinoma (liver cancer) or death. Current treatments for HCV include expensive drug combinations that can cure HCV in most but do not prevent reinfection if there is another exposure. At this time, there are no vaccines available to prevent HCV and the diseases that it causes.
Type d'étude
Type d'étude
Inscription (Estimé)
Inscription
Phase
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
Coordonnées de l'étude
- Nom: Kelly Kim, BSc, BA
- Numéro de téléphone: 587-598-2336
- E-mail: hcv@ualberta.ca
Lieux d'étude
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Alberta
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Edmonton, Alberta, Canada, T6G 2B7
- University of Alberta Hospital
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Contact:
- Vanessa Meier-Stephenson, MD, PhD
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Ottawa Hospital - General Campus
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Contact:
- Curtis Cooper, MD, MSc
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Toronto, Ontario, Canada, M5G 2C4
- Toronto General Hospital - Toronto Centre for Liver Disease
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Contact:
- Jordan Feld, MD, MSc
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Critères de participation
Critère d'éligibilité
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Able to understand the purpose and the procedures involved in this study and sign the informed consent form;
- Non-pregnant individuals, 18-45 years of age inclusive;
- Individuals must agree not to become pregnant during the trial. If they are capable of pregnancy and sexually active, they must use an effective method of birth control;
- Non-smoker and in good general health, as determined by medical screening evaluation, performed by PI, or delegated sub-investigator no greater than 4 weeks (28 days) before the first dose in the form of medical history, clinical laboratory tests and physical examination;
- Agrees to reside in the geographical area for next 12 months and not intending to travel outside of Canada for at least 14 days following each study vaccine administration;
- Agree not to participate in any other clinical trial during the trial;
- Agree not to donate blood for the duration of the trial;
- Agree to restrain from intensive physical exercise i.e., exercise that varies significantly from an everyday exercise routine, 3 days before and after (± 3 days) administration of each dose, including each interim visit for blood sample collection;
- Up to date on recommended seasonal vaccines (influenza and COVID-19) at the time of study enrolment.
Exclusion Criteria:
- Presence of Hepatitis C antibody (HCV Ab);
- Presence of significant acute infection requiring systemic antibiotic treatment within the 14 days prior to each product administration;
- Pregnant or breast feeding (all individuals physiologically capable of pregnancy will have a negative pregnancy test result prior to each study product administered);
- Past significant reaction following any previous vaccination;
- History of hypersensitivity to any vaccine component;
- Presence of acute infectious disease or fever (e.g., sub-lingual temperature 38.5°C) within the five days prior to study product administration;
- Presence of current or suspected serious chronic diseases such as cardiac or autoimmune disease (HIV or other immunodeficiencies), insulin dependent diabetes, progressive neurological disease, severe malnutrition, acute or progressive hepatic disease, acute or progressive renal disease, psoriasis, rheumatoid arthritis, asthma, epilepsy or obsessive-compulsive disorder, skin carcinoma excluding non-spreadable skin cancers such as basal cell and squamous cell carcinoma;
- Evidence and/or any history of leukaemia, lymphoma, or neoplasm;
- Presence or suspicion of impaired immune system function. Currently receiving or having within the past three years received immunosuppressive therapy, including systemic steroids, ACTH or inhaled steroids in dosages that are associated with hypothalamic-pituitary-adrenal axis suppression, such as 1mg/kg/day of prednisone or its equivalent or chronic use of inhaled high potency corticosteroids [budesonide 800 µg per day or fluticasone 750 µg];
- Received blood, blood products or a parenteral immunoglobulin preparation in the past 12 weeks;
- Evidence of bleeding diathesis or any condition that may be associated with a prolonged bleeding time;
- Known inherited genetic anomaly (known as cytogenic disorders) e.g., Down's syndrome;
- Evidence of any condition that, in the opinion of the clinical investigator, might interfere with the evaluation of the study objectives or pose excessive risks to participants;
- Clinically significant abnormal laboratory as assessed by the trial physician.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Tripler
Nombre de bras
Armes et Interventions
Groupe de participants / BrasGroupe de participants / Bras |
Intervention / TraitementIntervention / Traitement |
|---|---|
|
Expérimental: AVIHepC1
Contains two components: (1) GMP-Grade E1E2 heterodimer envelope protein (4.5µg); and (2) GMP-Grade SLA-SE adjuvant. |
Intramuscular injection administered at 0, 4, and 24 weeks. |
|
Comparateur placebo: Normal Saline
0.9% sodium chloride |
*Only applicable for double-blinded randomized component of the study. Intramuscular injection administered at 0, 4, and 24 weeks. |
Que mesure l'étude ?
Principaux critères de jugement
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Adverse Events
Délai: 6 months after last dose of vaccine is administered
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Safety is the primary outcome. Clinical symptoms and signs, standard laboratory parameters (hematological and biochemical), and ancillary data will be collected and assessed for safety monitoring throughout the study which will also be reviewed by the Data Safety Monitoring Board (DSMB) accordingly. |
6 months after last dose of vaccine is administered
|
Mesures de résultats secondaires
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Immunogenicity
Délai: 6 months after last dose of vaccine is administered
|
Antibody titres: Samples of sera and PBMCs will be collected from the participants prior to each injection and at the scheduled clinic visits. The titre of vaccine specific antibodies will be determined using ELISA. The presence of vaccine-specific antibodies in all participants in the study will be monitored. |
6 months after last dose of vaccine is administered
|
|
Immunogenicity
Délai: 6 months after last dose of vaccine is administered
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Assessment for pan-genotypic neutralizing antibodies in vitro: Sera will be tested for neutralization capacity via a panel of infectious cell-culture-propagated HCV genotypes. |
6 months after last dose of vaccine is administered
|
|
Immunogenicity
Délai: 6 months after last dose of vaccine is administered
|
T cell responses: T cell responses generated by vaccinees pre- and post-vaccination will be measured by flow cytometry. |
6 months after last dose of vaccine is administered
|
Collaborateurs et enquêteurs
Parrainer
Parrainer
Les enquêteurs
Les enquêteurs
- Chercheur principal: Michael Houghton, PhD, University of Alberta
- Chaise d'étude: Vanessa Meier-Stephenson, MD, PhD, University of Alberta
- Chercheur principal: Lorne Tyrrell, MD, PhD, University of Alberta
- Chercheur principal: Jordan Feld, MD, MSc, University of Toronto
- Chercheur principal: Curtis Cooper, MD, MSc, University of Ottawa
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Début de l'étude
Achèvement primaire (Estimé)
Achèvement primaire
Achèvement de l'étude (Estimé)
Achèvement de l'étude
Dates d'inscription aux études
Première soumission
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Première publication
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour publiée
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
- Infections transmissibles par le sang
- Infections
- Infections par virus à ARN
- Maladies virales
- Maladies du système digestif
- Maladies du foie
- Hépatite, virale, humaine
- Maladies transmissibles
- Infections à Flaviviridae
- Hépatite
- Hépatite C
- Préparations pharmaceutiques
- Solutions cristalloïdes
- Solutions isotoniques
- Solutions
- Solution saline
Autres numéros d'identification d'étude
Autres numéros d'identification d'étude
- Pro00147152
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
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