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

25 mars 2011 uppdaterad av: 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).

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Förväntat)

24

Fas

  • Fas 1

Kontakter och platser

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

Studieorter

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

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:

  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

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: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Group A
Intramuscular immunisation
Single injection of 1 x 108 pfu MVA85A
Experimentell: Group B
Intradermal immunisation
Single injection of 1 x 108 pfu MVA85A

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Safety
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Immunogenicity
Tidsram: 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

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 2010

Primärt slutförande (Faktisk)

1 januari 2011

Avslutad studie (Faktisk)

1 januari 2011

Studieregistreringsdatum

Först inskickad

11 augusti 2010

Först inskickad som uppfyllde QC-kriterierna

11 augusti 2010

Första postat (Uppskatta)

13 augusti 2010

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

28 mars 2011

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

25 mars 2011

Senast verifierad

1 mars 2011

Mer information

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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