Study of a Novel Therapeutic Vaccine for Hepatitis C Virus
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.
調査の概要
研究の種類
入学 (実際)
段階
- フェーズ 1
連絡先と場所
研究場所
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Headington, Oxford、イギリス、OX3 9DU
- John Radcliffe Hospital, Headley Way
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West Midlands
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Birmingham、West Midlands、イギリス、B15 2TH
- Wellcome Clinical Research Facility, Queen Elizabeth's Hospital, University Hospital Birmingham NHS Foundation Trust
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:非ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的: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
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|
実験的: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
|
|
実験的: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
|
|
実験的: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
|
|
実験的: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
|
|
実験的: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
|
|
実験的: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
|
|
実験的: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
|
|
実験的: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
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Safety and immunogenicity
時間枠:Different time points depending on the study groups with a 6-months follow-up after last vaccination for all groups
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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.
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Different time points depending on the study groups with a 6-months follow-up after last vaccination for all groups
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協力者と研究者
スポンサー
捜査官
- スタディチェア:Eleanor Barnes, MD、University of Oxford, UK
- 主任研究者:David Mutimer, Dr.、University of Birmingham
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- HCV002TV
- 2008-006127-32 (EudraCT番号)
- GTAC162 (その他の識別子:Gene Therapy Advisory Committee (GTAC), UK)
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
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