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A Phase I Trial of a LTK63 Adjuvated Tuberculosis Nasal Subunit Vaccine (Ag85B-ESAT6) (TMUVA-01)

31 oktober 2008 uppdaterad av: St George's, University of London

A Phase I Trial of the Safety and Immunogenicity of an Adjuvated TB Subunit Vaccine (Ag85B-ESAT6 + LTK63) Administered at 0 and 2 Months

The purpose of this study is to determine whether a subunit tuberculosis vaccine given as two nasal immunizations composed of a hybrid protein antigen from M. tuberculosis virus mixed with a toxoid adjuvant, causes untoward adverse reactions when administered to healthy adult volunteers. Both subjects who have not received Bacillus Calmette-Guerin (BCG) and subjects who have already received BCG will be enrolled. An initial evaluation of immune responses to the vaccine will also be undertaken.

Studieöversikt

Detaljerad beskrivning

The purpose of this study is to determine whether a subunit tuberculosis vaccine given as two nasal immunizations composed of a hybrid protein antigen from M. tuberculosis virus mixed with a toxoid adjuvant, causes untoward adverse reactions when administered to healthy adult volunteers. Both subjects who have not received BCG and subjects who have already received BCG will be enrolled. An initial evaluation of immune responses to the vaccine will also be undertaken using flow cytometry to enumerate antigen specific IFNg containing T cells; ELISPOT to determine IFNg secreting antigen specific T cells; serology and nasal wash antibody.

Studietyp

Interventionell

Inskrivning (Faktisk)

9

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • England
      • London, England, Storbritannien, SW17 0RE
        • St George's Vaccine Institute

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 55 år (Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Signed informed consent
  • Healthy, based on medical examination at inclusion
  • Male or female subjects, aged between 18 and 55 years
  • Willing and likely to be able to comply with the trial procedures
  • Prepared to grant authorized persons access to their medical records

Additional inclusion criterion for BCG-non-vaccinated subjects:

  • BCG-non-vaccinated (i.e., absence of a BCG-scar)
  • Negative Mantoux skin test

Additional inclusion criterion for BCG-vaccinated subjects:

  • BCG-vaccinated (i.e., presence of a BCG-scar)

Exclusion Criteria:

  • History of TB or known exposure to TB
  • Radiological findings on chest X ray compatible with previous or current infection with tuberculosis
  • Positive QuantiFERON® TB-Gold test Evidence of previous, current or latent tuberculosis
  • Evidence of previous, current or latent tuberculosis
  • History of severe organ-system diseases
  • Known hypersensitivity to any of the vaccine components
  • History of allergic disorders
  • Vaccinated with other vaccine within 3 months before first vaccination
  • Congenital and/or acquired immune diseases
  • Administration of systemic immune modulating drugs (steroids, immunosuppressive drugs or immunoglobulin) within 3 months before the first vaccination (topical steroids not included)
  • Autoimmune diseases
  • HIV, HBV and HCV sero-positive
  • Established diagnosis of a neurological or neuromuscular disease, and specifically any history of abnormality with respect to sense of smell (olfactory nerve dysfunction), or previous or current facial nerve paralysis
  • Congenital or acquired abnormalities or disorders related to nasal and nasopharyngeal cavities
  • Current use of any medication taken through the nasal/inhalatory route including cocaine or other drugs
  • Laboratory parameters outside of normal ranges considered clinically significant
  • Pregnant according to urine pregnancy test
  • Females not willing to use contraceptives or who are breastfeeding
  • Intake of trial medication in other clinical trials within 6 months of the first vaccination

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 1
100 ug H1 antigen alone in BCG naive subjects
100 ug H1 antigen in BCG naive subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG naive subjects
50 ug H1 antigen in BCG immunized subjects
50 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
Experimentell: 2
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG naive subjects
100 ug H1 antigen in BCG naive subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG naive subjects
50 ug H1 antigen in BCG immunized subjects
50 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
Experimentell: 3
50 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen in BCG naive subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG naive subjects
50 ug H1 antigen in BCG immunized subjects
50 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
Experimentell: 4
50 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG naive subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG naive subjects
50 ug H1 antigen in BCG immunized subjects
50 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
Experimentell: 5
100 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen in BCG naive subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG naive subjects
50 ug H1 antigen in BCG immunized subjects
50 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
Experimentell: 6
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG naive subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG naive subjects
50 ug H1 antigen in BCG immunized subjects
50 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects
100 ug H1 antigen in BCG immunized subjects
100 ug H1 antigen + LTK63 adjuvant 30 ug in BCG immunized subjects

Vad mäter studien?

Primära resultatmått

Resultatmått
Tidsram
To evaluate the safety profile (medical examinations, adverse events and laboratory safety tests) of a nasal TB subunit vaccine with and without adjuvant given as two doses with 2 months interval.
Tidsram: 8 months
8 months

Sekundära resultatmått

Resultatmått
Tidsram
To evaluate the cell mediated and humoral immunogenicity profile of a nasal TB subunit vaccine with and without adjuvant, given as two doses with 2 months interval.
Tidsram: 8 months
8 months

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 januari 2007

Primärt slutförande (Faktisk)

1 november 2007

Avslutad studie (Faktisk)

1 februari 2008

Studieregistreringsdatum

Först inskickad

26 februari 2007

Först inskickad som uppfyllde QC-kriterierna

26 februari 2007

Första postat (Uppskatta)

27 februari 2007

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

2 november 2008

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

31 oktober 2008

Senast verifierad

1 oktober 2008

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • TMUVA-01
  • FP6-2002-LIFESCIHEA-2.3 503240
  • EudraCT Number: 2005-005140-81

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