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Study of a Novel Therapeutic Vaccine for Hepatitis C Virus

22 aprile 2015 aggiornato da: ReiThera Srl

A Phase I Study to Assess the Safety and Immunogenicity of Ad6NSmut and AdCh3NSmut in Patients With Hepatitis C Virus Infection

HCV002TV is a Phase I study to ascertain the safety and immunogenicity of a novel vaccine against Hepatitis C virus (HCV) in chronically infected patients. The vaccine is based on the sequential delivery, by intramuscular route, of two different adenoviral vectors, of chimpanzee and human origin respectively, bearing the same genetic information for HCV antigens (NS region).

The two recombinant vaccine vectors, called AdCh3NSmut and Ad6NSmut, are weakened and unable to multiply within the body; they are designed to induce an immune response against HCV proteins. AdCh3NSmut and Ad6NSmut are being used in the ongoing HCV001 study in healthy volunteers with very good safety and immunogenicity results.

HCV002TV is a dose-escalation study; the AdCh3NSmut is administered as priming vaccination and Ad6NSmut as boosting vaccination.

The trial includes:

  • Arm A, in which vaccinated patients are into Interferon-ribavirin therapy (the gold standard therapy for hepatitis C);
  • Arm B, in which vaccinated patients are not into therapy.

Panoramica dello studio

Stato

Completato

Condizioni

Tipo di studio

Interventistico

Iscrizione (Effettivo)

35

Fase

  • Fase 1

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

      • Headington, Oxford, Regno Unito, OX3 9DU
        • John Radcliffe Hospital, Headley Way
    • West Midlands
      • Birmingham, West Midlands, Regno Unito, B15 2TH
        • Wellcome Clinical Research Facility, Queen Elizabeth's Hospital, University Hospital Birmingham NHS Foundation Trust

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 65 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • The patient must satisfy all the following criteria to be eligible for the study:

    • HCV infected with genotype-1 infection
    • Adults aged 18 to 65 years (inclusive)
    • In arms A1-A3 patients will only be vaccinated if they have a >2log drop in viral load at week 12 of IFN-alpha and ribavirin therapy. Vaccination will then occur at week 14 into IFN-alpha and ribavirin therapy.
    • Resident in or near the trial sites for the duration of the vaccination study
    • Able and willing (in the Investigator's opinion) to comply with all study requirements
    • For women of child bearing potential, willingness to practice continuous effective contraception during the study and a negative pregnancy test on the day(s) of vaccination
    • For men to use barrier contraception until three months after the last vaccination
    • Written informed consent

Exclusion Criteria:

  • The patient may not enter the study if any of the following apply:

    • Participation in another research study involving an investigational product in the 30 days preceding enrolment, or planned use during the study period
    • Prior receipt of a recombinant simian or human adenoviral vaccine
    • Clinical, biochemical, ultrasonographic, or liver biopsy (histology) evidence of cirrhosis or portal hypertension
    • Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed)
    • Patients likely to have been infected with HCV within the last 12 months
    • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g., Kathon
    • Patients who failed to respond (non-responders) to previous IFN-alpha monotherapy
    • Patients who received IFN-alpha and ribavirin in the past and who were non-responders or relapsed during or after therapy
    • History of clinically significant contact dermatitis
    • For Arm A, patients must be treatment naïve (i.e. never have had previous IFNα or ribavirin treatment). Arm B may include patients who have previously been treated for HCV and failed to achieve a sustained virological response (defined by undetectable HCV by PCR at 6 months post cessation of treatment)
    • Any history of anaphylaxis in reaction to vaccination
    • Pregnancy, lactation or willingness/intention to become pregnant during the study
    • History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
    • Any other serious chronic illness requiring hospital specialist supervision
    • Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week
    • Current suspected or known injecting drug abuse
    • Seropositive for hepatitis B surface antigen (HBsAg)
    • Seropositive for HIV (antibodies to HIV) at screening
    • Seropositive for simian adenovirus 3 (antibodies to AdCh3) at titres >200, at screening
    • Seropositive for human adenovirus 6 (antibodies to Ad6) at titres >200, at screening
    • Any other significant disease, disorder or finding, which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study, or may influence the result of the study, or the patient's ability to participate in the study
    • Any other finding which in the opinion of the investigators would significantly increase the risk of having an adverse outcome from participating in the protocol
    • Individuals who have had a temperature >38°C in the 3 days preceding vaccination.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Arm A, group 1

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^8vp at week 14 and 1 dose Ad6NSmut 5 x 10^8vp at week 24, after starting PEG-IFN and ribavirin therapy.

Patients: 2

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm A, group 2

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^9vp at week 14 and 1 dose Ad6NSmut 5 x 10^9vp at week 24, after starting PEG-IFN and ribavirin therapy.

Patients: 2

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm A, group 3

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at week 14 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 24, after starting PEG-IFN and ribavirin therapy.

Patients: 6

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm A, group 4

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at week 2 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 12, after starting PEG-IFN and ribavirin therapy.

Patients: 6

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm A, group 5

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at weeks 14 and 18, and 1 dose Ad6NSmut 2.5 x 10^10vp at week 28, after starting PEG-IFN and ribavirin therapy.

Patients: 4

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm A, group 6

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at weeks 2 and 6, and 1 dose Ad6NSmut 2.5 x 10^10vp at week 16, after starting PEG-IFN and ribavirin therapy.

Patients: 4

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm B, group 1

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^8vp at week 4 and 1 dose Ad6NSmut 5 x 10^8vp at week 14.

Patients: 2

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm B, group 2

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^9vp at week 4 and 1 dose Ad6NSmut 5 x 10^9vp at week 14.

Patients: 2

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection
Sperimentale: Arm B, group 3

Interventions: AdCh3NSmut; Ad6NSmut.

1 dose AdCh3NSmut 2.5 x 10^10vp at week 4 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 14.

Patients: 4

Genetic vaccines against Hepatitis C virus infection
Genetic vaccine against Hepatitis C virus infection

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Safety and immunogenicity
Lasso di tempo: Different time points depending on the study groups with a 6-months follow-up after last vaccination for all groups
To assess the safety and immunogenicity of new hepatitis C vaccine candidates, AdCh3NSmut and Ad6NSmut when administered in a prime/boost regimen to HCV infected patients. The specific endpoints for safety and reactogenicity will be actively and passively collected data on adverse events. The specific endpoint of cellular immune response will be collected via IFN-gamma ELISpot assay and other exploratory immunological tests.
Different time points depending on the study groups with a 6-months follow-up after last vaccination for all groups

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Collaboratori

Investigatori

  • Cattedra di studio: Eleanor Barnes, MD, University of Oxford, UK
  • Investigatore principale: David Mutimer, Dr., University of Birmingham

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 novembre 2009

Completamento primario (Effettivo)

1 aprile 2013

Completamento dello studio (Effettivo)

1 aprile 2013

Date di iscrizione allo studio

Primo inviato

25 marzo 2010

Primo inviato che soddisfa i criteri di controllo qualità

25 marzo 2010

Primo Inserito (Stima)

29 marzo 2010

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Stima)

23 aprile 2015

Ultimo aggiornamento inviato che soddisfa i criteri QC

22 aprile 2015

Ultimo verificato

1 agosto 2013

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • HCV002TV
  • 2008-006127-32 (Numero EudraCT)
  • GTAC162 (Altro identificatore: Gene Therapy Advisory Committee (GTAC), UK)

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Prove cliniche su AdCh3NSmut

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