Safety and Effectiveness of HIV-1 DNA Plasmid Vaccine and HIV-1 Recombinant Adenoviral Vector Vaccine in HIV-Uninfected, Circumcised Men and Male-to-Female (MTF) Transgender Persons Who Have Sex With Men

Sponsor
National Institute of Allergy and Infectious Diseases (NIAID) (NIH)
Overall Status
Terminated
CT.gov ID
NCT00865566
Collaborator
HIV Vaccine Trials Network (Other)
2,504
22
2
101.2
113.8
1.1

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the safety and efficacy of a VRC DNA/rAd5 vaccine regimen in healthy, circumcised men and male-to-female (MTF) transgender persons who have sex with men.

NOTES:

As of April 2013, all vaccinations in this study have been stopped.

As of June 2017, this study has been closed.

Condition or Disease Intervention/Treatment Phase
  • Biological: DNA plasmid vaccine
  • Biological: Recombinant adenoviral serotype 5 (rAD5) vector vaccine
  • Biological: DNA vaccine placebo
  • Biological: HIV-1 recombinant adenovirus vaccine placebo
Phase 2

Detailed Description

In 2007, the Joint United Nations Programme on HIV/AIDS estimated that 33.2 million people were living with HIV/AIDS globally. The U.S. HIV prevalence data reported in October 2008 by the Centers for Disease Control and Prevention estimate that 1.1 million adults and adolescents were living with diagnosed or undiagnosed HIV infection in the United States at the end of 2006. Nearly half of all U.S. HIV infections (48.1%) were found in men who have sex with men (MSM). Given the difficulty of maintaining behaviors that prevent HIV transmission over a lifetime and the occurrence of nonconsensual sex, the need for a safe and effective vaccine is clear. The primary purpose of this study is to determine the safety and efficacy of a VRC DNA/rAd5 vaccine regimen in healthy, at-risk, circumcised men and MTF transgender persons who have sex with men.

Participants will be randomly assigned to one of two arms. Participants in Arm 1 will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. Participants in Arm 2 will receive placebo injections at study entry and on Days 28, 56, and 168.

Participants who do not become HIV infected will be actively followed for a minimum of 24 months and will continue to be followed by the study for long-term safety surveillance for a total of 5 years following enrollment. Participants will be contacted annually during the period of long-term safety surveillance.

Participants who are found to be HIV infected prior to receiving their first injection or who receive their first injection but were HIV infected prior to study start will be followed on a modified schedule.

Participants who become HIV infected will be followed for 6 months post-diagnosis.

At most study visits, participants will undergo a physical exam and blood draw.

NOTES:

As of April 2013, all vaccinations in this study have been stopped. Participants have been notified of whether they received the study vaccines or placebo. Participants diagnosed with HIV infection will attend study visits for 6 months for health monitoring. Participants who are not diagnosed with HIV infection will attend planned study visits for 24 months and will be followed by the study clinic at least annually for a total of 5 years following study enrollment.

As of June 2017, this study has been closed. Therefore, to avoid further burden on study participants, further participant follow-up for the study is suspended.

Study Design

Study Type:
Interventional
Actual Enrollment :
2504 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Care Provider)
Primary Purpose:
Prevention
Official Title:
Phase 2b, Randomized, Placebo-Controlled Test-of-Concept Trial to Evaluate the Safety and Efficacy of a Multiclade HIV-1 DNA Plasmid Vaccine Followed by a Multiclade HIV-1 Recombinant Adenoviral Vector Vaccine in HIV-Uninfected, Adenovirus Type 5 Neutralizing Antibody Negative, Circumcised Men and Male-to-Female (MTF) Transgender Persons, Who Have Sex With Men
Study Start Date :
May 1, 2009
Actual Primary Completion Date :
Oct 6, 2017
Actual Study Completion Date :
Oct 6, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1

Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped.

Biological: DNA plasmid vaccine
4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid
Other Names:
  • VRC-HIVDNA016-00-VP
  • Biological: Recombinant adenoviral serotype 5 (rAD5) vector vaccine
    1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid
    Other Names:
  • VRC-HIVADV014-00-VP
  • Placebo Comparator: 2

    Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped.

    Biological: DNA vaccine placebo
    1 mL IM via Biojector® in either deltoid
    Other Names:
  • VRC-PBSPLA043-00-VP
  • phosphate buffered saline (PBS)
  • Biological: HIV-1 recombinant adenovirus vaccine placebo
    1 mL administered IM by needle and syringe in either deltoid
    Other Names:
  • VRC-DILUENT013-DIL-VP
  • final formulation buffer (FFB)
  • Outcome Measures

    Primary Outcome Measures

    1. Participant Dropout Through Month 48 [Enrollment through Month 48 visit]

      For participants remaining uninfected, dropout is assessed only for primary follow-up, i.e. clinic visits. Protocol versions 4 and earlier included 24 months of primary follow-up, and versions 5 and later included 48 months. Participants may terminate early after completing primary follow-up, and participants who were found to be HIV-1 infected are analyzed as non-dropouts, so the number of dropouts and number of early terminations need not match.

    2. Participant Dropout Prior to Unblinding [Enrollment until the date of dropout, through April 22, 2013 (up to Month 24 visit)]

      The trial was unblinded on April 23, 2013, and the protocol was in version 4 at the time. For participants remaining uninfected, dropout is assessed only for primary follow-up, i.e. clinic visits. Protocol versions 4 and earlier included 24 months of primary follow-up, and versions 5 and later included 48 months. Participants may terminate early after completing primary follow-up, and participants who were found to be HIV-1 infected are analyzed as non-dropouts, so the number of dropouts and number of early terminations need not match.

    3. Participant Dropout After Unblinding [April 23, 2013 through trial closure (up to Month 48 visit)]

      The trial was unblinded on April 23, 2013, and the protocol was in version 4 at the time. For participants remaining uninfected, dropout is assessed only for primary follow-up, i.e. clinic visits. Protocol versions 4 and earlier included 24 months of primary follow-up, and versions 5 and later included 48 months. Participants may terminate early after completing primary follow-up, and participants who were found to be HIV-1 infected are analyzed as non-dropouts, so the number of dropouts and number of early terminations need not match.

    4. HIV-1 Infections Diagnosed After Day 0 Including All Available Follow-up Through the Maximum Month 48 Visit [Enrollment through Month 48 visit]

      For time-to-event analysis, an event is defined as HIV-1 infection and participants are censored if they dropped out early or completed the trial. HIV-1 diagnosis date is defined as the date of the earliest specimen collection yielding a positive HIV test. Participants remaining uninfected were censored at the latest specimen collection with a negative HIV-1 test.

    5. HIV-1 Infections Diagnosed After Day 0 Through the Month 24 Visit [Enrollment through Month 24 visit]

      For time-to-event analysis, an event is defined as HIV-1 infection and participants remaining uninfected through the month 24 visit were censored. HIV-1 diagnosis date is defined as the date of the earliest specimen collection at or prior to month 24 which yielded a positive HIV test. Participants remaining uninfected through the month 24 visit were censored at the latest specimen collection with a negative HIV-1 test at or prior to the month 24 visit.

    6. Number of Participants Experiencing Local Reactogenicity: Pain and/or Tenderness [Through 3 days post each study vaccination, and to resolution for events present at the third day post vaccination]

      For each sign or symptom, we define the maximum observed grade for each participant over all vaccinations and post-vaccination assessments. Local and systemic signs and symptoms are assessed and graded based on The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), Version 1.0, December, 2004 (Clarification dated August 2009). Local reactogenicity parameters are pain, tenderness, erythema, and induration. We present the maximum grade for pain and/or tenderness, and erythema and/or induration.

    7. Number of Participants Experiencing Local Reactogenicity: Erythema and/or Induration [Through 3 days post each study vaccination, and to resolution for events present at the third day post vaccination]

      For each sign or symptom, we define the maximum observed grade for each participant over all vaccinations and post-vaccination assessments. Local and systemic signs and symptoms are assessed and graded based on The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), Version 1.0, December, 2004 (Clarification dated August 2009). Local reactogenicity parameters are pain, tenderness, erythema, and induration. We present the maximum grade for pain and/or tenderness, and erythema and/or induration.

    8. Number of Participants Experiencing Systemic Reactogenicity [Through 3 days post each study vaccination, and to resolution for events present at the third day post vaccination]

      For each sign or symptom, we define the maximum observed grade for each participant over all vaccinations and post-vaccination assessments. Local and systemic signs and symptoms are assessed and graded based on The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), Version 1.0, December, 2004 (Clarification dated August 2009). Systemic reactogenicity parameters are malaise/fatigue, myalgia, headache, nausea, vomiting, chills, and arthralgia. We present the maximum grade calculated over these parameters.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 50 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • HIV-1 and -2 negative

    • Good general health

    • Fully circumcised

    • Experienced one or both of the following HIV risk criteria in the 6 months before study entry:

    1. Unprotected anal intercourse with one or more male or MTF transgender partner(s)

    2. Anal intercourse with two or more male or MTF transgender partners

    • Alanine aminotransferase (ALT) 2.5 or less times the upper limit of normal (ULN)

    • Ad5 neutralizing antibody (nAb) titer less than 1:18

    • Have access to a participating study site and are willing to be followed during the study

    • Demonstrate understanding of the study

    • Willing to receive HIV test results

    • Willing to discuss HIV infection risks and amenable to risk-reduction counseling

    • Agrees not to enroll in another study of an investigational research agent before unblinding of this study

    • NOTE: MTF transgender volunteers who have undergone gender reassignment surgery (GRS) are eligible to participate if they provide documentation from a health care provider confirming that they were fully circumcised prior to GRS. MTF transgender volunteers who have not undergone GRS are eligible to participate if they meet all enrollment criteria. Receipt of hormonal therapy does not make a transgender volunteer ineligible.

    Exclusion Criteria:
    • HIV vaccines in prior HIV vaccine trial. Participants who can provide documentation that they received a placebo in a prior HIV trial may be eligible.

    • Used antiretroviral (ARV) drugs for the purpose of HIV-1 prophylaxis for greater than or equal to 50% of days during the 3 months prior to first vaccination or for 30 consecutive days within the 60 days prior to first vaccination

    • Circumcised within 90 days prior to first vaccination or displays evidence that surgical site is not fully healed

    • Immunosuppressive medications within 168 days prior to first study vaccination. Participants who have used corticosteroid nasal sprays for allergic rhinitis; topical corticosteroids for mild, uncomplicated dermatitis; or oral/parenteral corticosteroids for nonchronic conditions are not excluded.

    • Blood products within 90 days prior to first study vaccination

    • Immunoglobulin within 90 days prior to first study vaccination

    • Live attenuated vaccines other than influenza vaccine within 30 days prior to first study vaccination

    • Investigational research agents within 90 days prior to first study vaccination

    • Influenza vaccine or any vaccines that are not live attenuated within 14 days prior to first study vaccination

    • Allergy treatment with antigen injections within 30 days prior to first study vaccination or that are scheduled within 14 days after first vaccination

    • Clinically significant medical condition, physical examination findings, abnormal laboratory results, or past medical history that, in the judgment of the investigator, has significant implications for current health

    • Any medical, psychiatric, or job-related responsibility that would interfere with the study. More information about this criterion can be found in the protocol.

    • Any concern that, in the opinion of the investigator, may interfere with a participant's completion of the post-vaccination symptom log

    • History of serious adverse reactions to vaccinations, including anaphylaxis or allergy to any of the vaccine's components

    • Current anti-tuberculosis prophylaxis or therapy

    • Autoimmune disease. People with mild, stable, and uncomplicated autoimmune disease that does not require immunosuppressive medication and that, in the judgment of the site investigator, is likely not subject to exacerbation and likely not to complicate reactogenicity and adverse event assessments are not excluded.

    • Immunodeficiency

    • Bleeding disorder

    • History of malignancy

    • Seizure disorder. People with a history of seizures who have had no seizures within the 3 years prior to study entry are not excluded.

    • Asthma other than mild, well-controlled asthma

    • Hereditary angioedema (HAE), acquired angioedema (AAE), or idiopathic angioedema

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Alabama CRS Birmingham Alabama United States 35294
    2 The AIDS Research Alliance of America CRS Los Angeles California United States 90015
    3 UCLA CARE Center CRS Los Angeles California United States 90035
    4 Bridge HIV CRS San Francisco California United States 94143
    5 University of Colorado Hospital CRS Aurora Colorado United States 80045
    6 Orlando Immunology Center CRS Orlando Florida United States 32803
    7 The Hope Clinic of the Emory Vaccine Center CRS Decatur Georgia United States 30030
    8 UIC Project WISH CRS Chicago Illinois United States 60612
    9 VRC Clinical Trials Core CRS Bethesda Maryland United States 20816
    10 Brigham and Women's Hospital Vaccine CRS (BWH VCRS) Boston Massachusetts United States 02115-6110
    11 Fenway Health (FH) CRS Boston Massachusetts United States 02215-4302
    12 NY Univ. HIV/AIDS CRS New York New York United States 10016
    13 Columbia P&S CRS New York New York United States 10032-3732
    14 New York Blood Center CRS New York New York United States 10065
    15 University of Rochester Vaccines to Prevent HIV Infection CRS Rochester New York United States 14642
    16 Case Clinical Research Site Cleveland Ohio United States 44106
    17 Penn Prevention CRS Philadelphia Pennsylvania United States 19104
    18 Vanderbilt Vaccine (VV) CRS Nashville Tennessee United States 37232-2582
    19 University of Texas Southwestern CRS Dallas Texas United States 75235
    20 Baylor Vaccine Research Center CRS Houston Texas United States 77030
    21 Care-Id Crs Annandale Virginia United States 22003
    22 Seattle Vaccine and Prevention CRS Seattle Washington United States 98109-1024

    Sponsors and Collaborators

    • National Institute of Allergy and Infectious Diseases (NIAID)
    • HIV Vaccine Trials Network

    Investigators

    • Study Chair: Scott Hammer, Columbia University
    • Study Chair: Magdalena Sobieszczyk, Columbia University
    • Study Chair: Michael Yin, Columbia University

    Study Documents (Full-Text)

    More Information

    Publications

    Responsible Party:
    National Institute of Allergy and Infectious Diseases (NIAID)
    ClinicalTrials.gov Identifier:
    NCT00865566
    Other Study ID Numbers:
    • HVTN 505
    • 10753
    • NCT00919789
    First Posted:
    Mar 19, 2009
    Last Update Posted:
    Oct 15, 2021
    Last Verified:
    Oct 1, 2021
    Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID)
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Period Title: Overall Study
    STARTED 1253 1251
    Modified Intent-to-Treat Population 1251 1245
    COMPLETED 629 564
    NOT COMPLETED 624 687

    Baseline Characteristics

    Arm/Group Title Vaccine Placebo Total
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid Total of all reporting groups
    Overall Participants 1253 1251 2504
    Age (years) [Median (Full Range) ]
    Median (Full Range) [years]
    29
    30
    29
    Age, Customized (Count of Participants)
    18-20 years
    105
    8.4%
    108
    8.6%
    213
    8.5%
    21-30 years
    585
    46.7%
    569
    45.5%
    1154
    46.1%
    31-40 years
    299
    23.9%
    299
    23.9%
    598
    23.9%
    41-50 years
    264
    21.1%
    275
    22%
    539
    21.5%
    Sex/Gender, Customized (Count of Participants)
    Male
    1231
    98.2%
    1229
    98.2%
    2460
    98.2%
    Female
    4
    0.3%
    4
    0.3%
    8
    0.3%
    Transgender Male
    1
    0.1%
    1
    0.1%
    2
    0.1%
    Transgender Female
    13
    1%
    15
    1.2%
    28
    1.1%
    Other
    4
    0.3%
    2
    0.2%
    6
    0.2%
    Sex: Female, Male (Count of Participants)
    Female
    0
    0%
    0
    0%
    0
    0%
    Male
    1253
    100%
    1251
    100%
    2504
    100%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    125
    10%
    94
    7.5%
    219
    8.7%
    Not Hispanic or Latino
    1128
    90%
    1157
    92.5%
    2285
    91.3%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    3
    0.2%
    10
    0.8%
    13
    0.5%
    Asian
    13
    1%
    20
    1.6%
    33
    1.3%
    Native Hawaiian or Other Pacific Islander
    4
    0.3%
    6
    0.5%
    10
    0.4%
    Black or African American
    222
    17.7%
    204
    16.3%
    426
    17%
    White
    939
    74.9%
    944
    75.5%
    1883
    75.2%
    More than one race
    45
    3.6%
    46
    3.7%
    91
    3.6%
    Unknown or Not Reported
    27
    2.2%
    21
    1.7%
    48
    1.9%
    Body Mass Index (BMI) (Count of Participants)
    <18.5 kg/m^2
    22
    1.8%
    16
    1.3%
    38
    1.5%
    18.5-24.9 kg/m^2
    550
    43.9%
    586
    46.8%
    1136
    45.4%
    25.0-29.9 kg/m^2
    391
    31.2%
    381
    30.5%
    772
    30.8%
    30.0-34.9 kg/m^2
    189
    15.1%
    167
    13.3%
    356
    14.2%
    35-39.9 kg/m^2
    64
    5.1%
    59
    4.7%
    123
    4.9%
    >=40 kg/m^2
    36
    2.9%
    41
    3.3%
    77
    3.1%
    Missing/Unknown
    1
    0.1%
    1
    0.1%
    2
    0.1%
    Number of male sexual partners within 3 months prior to screening assessment (Count of Participants)
    0
    59
    4.7%
    64
    5.1%
    123
    4.9%
    1
    256
    20.4%
    243
    19.4%
    499
    19.9%
    2
    253
    20.2%
    242
    19.3%
    495
    19.8%
    3-4
    349
    27.9%
    367
    29.3%
    716
    28.6%
    5 or more
    330
    26.3%
    327
    26.1%
    657
    26.2%
    Unknown
    6
    0.5%
    8
    0.6%
    14
    0.6%
    Number of male sexual partners within 3 months prior to screening assessment (partners) [Median (Full Range) ]
    Median (Full Range) [partners]
    3
    3
    3
    Any unprotected receptive anal sex with a partner within 3 months prior to screening assessment (Count of Participants)
    Count of Participants [Participants]
    589
    47%
    573
    45.8%
    1162
    46.4%

    Outcome Measures

    1. Primary Outcome
    Title Participant Dropout Through Month 48
    Description For participants remaining uninfected, dropout is assessed only for primary follow-up, i.e. clinic visits. Protocol versions 4 and earlier included 24 months of primary follow-up, and versions 5 and later included 48 months. Participants may terminate early after completing primary follow-up, and participants who were found to be HIV-1 infected are analyzed as non-dropouts, so the number of dropouts and number of early terminations need not match.
    Time Frame Enrollment through Month 48 visit

    Outcome Measure Data

    Analysis Population Description
    MITT population
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1251 1245
    Count of Participants [Participants]
    340
    27.1%
    436
    34.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Vaccine, Placebo
    Comments Cox proportional hazards model to assess the association between treatment assignment and dropout
    Type of Statistical Test Other
    Comments Score test
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Regression, Cox
    Comments
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 0.73
    Confidence Interval (2-Sided) 95%
    0.63 to 0.84
    Parameter Dispersion Type:
    Value:
    Estimation Comments HR is vaccine / placebo
    2. Primary Outcome
    Title Participant Dropout Prior to Unblinding
    Description The trial was unblinded on April 23, 2013, and the protocol was in version 4 at the time. For participants remaining uninfected, dropout is assessed only for primary follow-up, i.e. clinic visits. Protocol versions 4 and earlier included 24 months of primary follow-up, and versions 5 and later included 48 months. Participants may terminate early after completing primary follow-up, and participants who were found to be HIV-1 infected are analyzed as non-dropouts, so the number of dropouts and number of early terminations need not match.
    Time Frame Enrollment until the date of dropout, through April 22, 2013 (up to Month 24 visit)

    Outcome Measure Data

    Analysis Population Description
    MITT population
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1251 1245
    Count of Participants [Participants]
    99
    7.9%
    127
    10.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Vaccine, Placebo
    Comments Cox PH model to assess the association between treatment assignment and dropout
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.05
    Comments Score test
    Method Regression, Cox
    Comments
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 0.77
    Confidence Interval (2-Sided) 95%
    0.59 to 1
    Parameter Dispersion Type:
    Value:
    Estimation Comments HR is vaccine / placebo
    3. Primary Outcome
    Title Participant Dropout After Unblinding
    Description The trial was unblinded on April 23, 2013, and the protocol was in version 4 at the time. For participants remaining uninfected, dropout is assessed only for primary follow-up, i.e. clinic visits. Protocol versions 4 and earlier included 24 months of primary follow-up, and versions 5 and later included 48 months. Participants may terminate early after completing primary follow-up, and participants who were found to be HIV-1 infected are analyzed as non-dropouts, so the number of dropouts and number of early terminations need not match.
    Time Frame April 23, 2013 through trial closure (up to Month 48 visit)

    Outcome Measure Data

    Analysis Population Description
    MITT population participants who were HIV-uninfected and on-study as of April 23, 2013
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1036 999
    Count of Participants [Participants]
    241
    19.2%
    309
    24.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Vaccine, Placebo
    Comments Assess the association between treatment assignment and dropout
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments Score test
    Method Regression, Cox
    Comments
    Method of Estimation Estimation Parameter Cox Proportional Hazard
    Estimated Value 0.71
    Confidence Interval (2-Sided) 95%
    0.60 to 0.84
    Parameter Dispersion Type:
    Value:
    Estimation Comments HR is vaccine / placebo
    4. Primary Outcome
    Title HIV-1 Infections Diagnosed After Day 0 Including All Available Follow-up Through the Maximum Month 48 Visit
    Description For time-to-event analysis, an event is defined as HIV-1 infection and participants are censored if they dropped out early or completed the trial. HIV-1 diagnosis date is defined as the date of the earliest specimen collection yielding a positive HIV test. Participants remaining uninfected were censored at the latest specimen collection with a negative HIV-1 test.
    Time Frame Enrollment through Month 48 visit

    Outcome Measure Data

    Analysis Population Description
    Modified Intent-to-Treat Cohort
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1251 1245
    Number [participants]
    75
    6%
    68
    5.4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Vaccine, Placebo
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.903
    Comments Score test
    Method Regression, Cox
    Comments Adjusted for age, behavioral risk score, square of behavioral risk score, race, and BMI
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 1.02
    Confidence Interval (2-Sided) 95%
    0.73 to 1.42
    Parameter Dispersion Type:
    Value:
    Estimation Comments HR is vaccine / placebo
    5. Primary Outcome
    Title HIV-1 Infections Diagnosed After Day 0 Through the Month 24 Visit
    Description For time-to-event analysis, an event is defined as HIV-1 infection and participants remaining uninfected through the month 24 visit were censored. HIV-1 diagnosis date is defined as the date of the earliest specimen collection at or prior to month 24 which yielded a positive HIV test. Participants remaining uninfected through the month 24 visit were censored at the latest specimen collection with a negative HIV-1 test at or prior to the month 24 visit.
    Time Frame Enrollment through Month 24 visit

    Outcome Measure Data

    Analysis Population Description
    Modified Intent-to-Treat Cohort
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1251 1245
    Number [participants]
    49
    3.9%
    46
    3.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Vaccine, Placebo
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.783
    Comments Adjusted for ave, behavioral risk score, square of behavioral risk score, and BMI
    Method Regression, Cox
    Comments Score test
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 1.06
    Confidence Interval (2-Sided) 95%
    0.71 to 1.58
    Parameter Dispersion Type:
    Value:
    Estimation Comments HR is vaccine / placebo
    6. Primary Outcome
    Title Number of Participants Experiencing Local Reactogenicity: Pain and/or Tenderness
    Description For each sign or symptom, we define the maximum observed grade for each participant over all vaccinations and post-vaccination assessments. Local and systemic signs and symptoms are assessed and graded based on The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), Version 1.0, December, 2004 (Clarification dated August 2009). Local reactogenicity parameters are pain, tenderness, erythema, and induration. We present the maximum grade for pain and/or tenderness, and erythema and/or induration.
    Time Frame Through 3 days post each study vaccination, and to resolution for events present at the third day post vaccination

    Outcome Measure Data

    Analysis Population Description
    All Enrolled Participants
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1253 1251
    None
    138
    11%
    415
    33.2%
    Mild
    723
    57.7%
    744
    59.5%
    Moderate
    370
    29.5%
    90
    7.2%
    Severe
    22
    1.8%
    2
    0.2%
    Potentially life-threatening
    0
    0%
    0
    0%
    7. Primary Outcome
    Title Number of Participants Experiencing Local Reactogenicity: Erythema and/or Induration
    Description For each sign or symptom, we define the maximum observed grade for each participant over all vaccinations and post-vaccination assessments. Local and systemic signs and symptoms are assessed and graded based on The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), Version 1.0, December, 2004 (Clarification dated August 2009). Local reactogenicity parameters are pain, tenderness, erythema, and induration. We present the maximum grade for pain and/or tenderness, and erythema and/or induration.
    Time Frame Through 3 days post each study vaccination, and to resolution for events present at the third day post vaccination

    Outcome Measure Data

    Analysis Population Description
    All enrolled participants
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1253 1251
    None
    717
    57.2%
    980
    78.3%
    >0 to 25 square cm
    498
    39.7%
    268
    21.4%
    >25 to 81 square cm (grade 1)
    15
    1.2%
    2
    0.2%
    >9 cm any diameter (grade 2)
    6
    0.5%
    0
    0%
    >81 square cm (grade 2)
    17
    1.4%
    1
    0.1%
    8. Primary Outcome
    Title Number of Participants Experiencing Systemic Reactogenicity
    Description For each sign or symptom, we define the maximum observed grade for each participant over all vaccinations and post-vaccination assessments. Local and systemic signs and symptoms are assessed and graded based on The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), Version 1.0, December, 2004 (Clarification dated August 2009). Systemic reactogenicity parameters are malaise/fatigue, myalgia, headache, nausea, vomiting, chills, and arthralgia. We present the maximum grade calculated over these parameters.
    Time Frame Through 3 days post each study vaccination, and to resolution for events present at the third day post vaccination

    Outcome Measure Data

    Analysis Population Description
    All enrolled participants
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    Measure Participants 1253 1251
    None
    563
    44.9%
    667
    53.3%
    Mild
    408
    32.6%
    406
    32.5%
    Moderate
    240
    19.2%
    169
    13.5%
    Severe
    42
    3.4%
    9
    0.7%
    Potentially life-threatening
    0
    0%
    0
    0%

    Adverse Events

    Time Frame Reporting of all AEs occurred during 2 periods for each participant: 1) from enrollment through 28 days after the third vaccination, and 2) from the fourth vaccination through 28 days after the fourth vaccination. Between and after these time periods, only SAEs, new chronic conditions requiring medical intervention of more than 30 days, and newly diagnosed/treated STIs were reported. Events requiring expedited reporting (protocol section 12.3) were reported through the study, up to 60 months.
    Adverse Event Reporting Description
    Arm/Group Title Vaccine Placebo
    Arm/Group Description Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA plasmid vaccine: 4-mg injection administered as 1 mL intramuscularly (IM) via Biojector® in either deltoid Recombinant adenoviral serotype 5 (rAD5) vector vaccine: 1 x 10^10 particle units (PU) administered as 1mL IM by needle and syringe in either deltoid Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28 and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168. As of April 2013, all vaccinations in this study have been stopped. DNA vaccine placebo: 1 mL IM via Biojector® in either deltoid HIV-1 recombinant adenovirus vaccine placebo: 1 mL administered IM by needle and syringe in either deltoid
    All Cause Mortality
    Vaccine Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/1253 (0.1%) 11/1251 (0.9%)
    Serious Adverse Events
    Vaccine Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 77/1253 (6.1%) 95/1251 (7.6%)
    Blood and lymphatic system disorders
    Any event in SOC 0/1253 (0%) 1/1251 (0.1%)
    Anaemias NEC 0/1253 (0%) 1/1251 (0.1%)
    Cardiac disorders
    Any event in SOC 1/1253 (0.1%) 6/1251 (0.5%)
    Ischaemic coronary artery disorders 1/1253 (0.1%) 2/1251 (0.2%)
    Coronary artery disorders NEC 0/1253 (0%) 1/1251 (0.1%)
    Heart failures NEC 0/1253 (0%) 1/1251 (0.1%)
    Supraventricular arrhythmias 0/1253 (0%) 1/1251 (0.1%)
    Ventricular arrhythmias and cardiac arrest 0/1253 (0%) 1/1251 (0.1%)
    Congenital, familial and genetic disorders
    Any event in SOC 0/1253 (0%) 1/1251 (0.1%)
    Haemoglobinopathies congenital 0/1253 (0%) 1/1251 (0.1%)
    Gastrointestinal disorders
    Any event in SOC 2/1253 (0.2%) 15/1251 (1.2%)
    Colitis (excl infective) 1/1253 (0.1%) 3/1251 (0.2%)
    Acute and chronic pancreatitis 1/1253 (0.1%) 1/1251 (0.1%)
    Duodenal ulcers and perforation 0/1253 (0%) 2/1251 (0.2%)
    Intestinal ulcers and perforation NEC 0/1253 (0%) 2/1251 (0.2%)
    Abdominal hernias NEC 0/1253 (0%) 1/1251 (0.1%)
    Gastric ulcers and perforation 0/1253 (0%) 1/1251 (0.1%)
    Gastrointestinal atonic and hypomotility disorders NEC 0/1253 (0%) 1/1251 (0.1%)
    Gastrointestinal disorders NEC 0/1253 (0%) 1/1251 (0.1%)
    Gastrointestinal stenosis and obstruction NEC 0/1253 (0%) 1/1251 (0.1%)
    Non-site specific gastrointestinal haemorrhages 1/1253 (0.1%) 0/1251 (0%)
    Oesophageal ulcers and perforation 0/1253 (0%) 1/1251 (0.1%)
    Rectal inflammations NEC 0/1253 (0%) 1/1251 (0.1%)
    General disorders
    Any event in SOC 2/1253 (0.2%) 5/1251 (0.4%)
    Pain and discomfort NEC 1/1253 (0.1%) 3/1251 (0.2%)
    Death and sudden death 0/1253 (0%) 2/1251 (0.2%)
    Withdrawal and rebound effects 1/1253 (0.1%) 0/1251 (0%)
    Immune system disorders
    Any event in SOC 1/1253 (0.1%) 1/1251 (0.1%)
    Acute and chronic sarcoidosis 0/1253 (0%) 1/1251 (0.1%)
    Allergies to foods, food additives, drugs and other chemicals 1/1253 (0.1%) 0/1251 (0%)
    Infections and infestations
    Any event in SOC 25/1253 (2%) 26/1251 (2.1%)
    Abdominal and gastrointestinal infections 8/1253 (0.6%) 11/1251 (0.9%)
    Bacterial infections NEC 5/1253 (0.4%) 4/1251 (0.3%)
    Infections NEC 2/1253 (0.2%) 3/1251 (0.2%)
    Lower respiratory tract and lung infections 3/1253 (0.2%) 1/1251 (0.1%)
    Upper respiratory tract infections 1/1253 (0.1%) 2/1251 (0.2%)
    Clostridia infections 2/1253 (0.2%) 0/1251 (0%)
    Sepsis, bacteraemia, viraemia and fungaemia NEC 1/1253 (0.1%) 1/1251 (0.1%)
    Skin structures and soft tissue infections 1/1253 (0.1%) 1/1251 (0.1%)
    Staphylococcal infections 2/1253 (0.2%) 0/1251 (0%)
    Streptococcal infections 1/1253 (0.1%) 1/1251 (0.1%)
    Bone and joint infections 1/1253 (0.1%) 0/1251 (0%)
    Borrelial infections 1/1253 (0.1%) 0/1251 (0%)
    Breast infections 0/1253 (0%) 1/1251 (0.1%)
    Herpes viral infections 1/1253 (0.1%) 0/1251 (0%)
    Infectious disorders carrier 1/1253 (0.1%) 0/1251 (0%)
    Urinary tract infections 1/1253 (0.1%) 0/1251 (0%)
    Viral infections NEC 0/1253 (0%) 1/1251 (0.1%)
    Injury, poisoning and procedural complications
    Any event in SOC 15/1253 (1.2%) 15/1251 (1.2%)
    Limb fractures and dislocations 4/1253 (0.3%) 2/1251 (0.2%)
    Skull fractures, facial bone fractures and dislocations 2/1253 (0.2%) 3/1251 (0.2%)
    Non-site specific injuries NEC 2/1253 (0.2%) 2/1251 (0.2%)
    Overdoses NEC 1/1253 (0.1%) 2/1251 (0.2%)
    Poisoning and toxicity 1/1253 (0.1%) 1/1251 (0.1%)
    Site specific injuries NEC 2/1253 (0.2%) 0/1251 (0%)
    Skin injuries NEC 1/1253 (0.1%) 1/1251 (0.1%)
    Spinal fractures and dislocations 0/1253 (0%) 2/1251 (0.2%)
    Abdominal injuries NEC 0/1253 (0%) 1/1251 (0.1%)
    Cardiac and vascular procedural complications 0/1253 (0%) 1/1251 (0.1%)
    Cardiovascular injuries 1/1253 (0.1%) 0/1251 (0%)
    Cerebral injuries NEC 1/1253 (0.1%) 0/1251 (0%)
    Muscle, tendon and ligament injuries 0/1253 (0%) 1/1251 (0.1%)
    Pathways and sources of exposure 0/1253 (0%) 1/1251 (0.1%)
    Thermal burns 1/1253 (0.1%) 0/1251 (0%)
    Investigations
    Any event in SOC 1/1253 (0.1%) 1/1251 (0.1%)
    Liver function analyses 0/1253 (0%) 1/1251 (0.1%)
    Metabolism tests NEC 1/1253 (0.1%) 0/1251 (0%)
    Metabolism and nutrition disorders
    Any event in SOC 1/1253 (0.1%) 0/1251 (0%)
    Potassium imbalance 1/1253 (0.1%) 0/1251 (0%)
    Musculoskeletal and connective tissue disorders
    Any event in SOC 1/1253 (0.1%) 3/1251 (0.2%)
    Bursal disorders 0/1253 (0%) 1/1251 (0.1%)
    Intervertebral disc disorders NEC 0/1253 (0%) 1/1251 (0.1%)
    Muscle weakness conditions 1/1253 (0.1%) 0/1251 (0%)
    Myopathies 0/1253 (0%) 1/1251 (0.1%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Any event in SOC 4/1253 (0.3%) 3/1251 (0.2%)
    Prostatic neoplasms malignant 1/1253 (0.1%) 1/1251 (0.1%)
    Colorectal neoplasms malignant 1/1253 (0.1%) 0/1251 (0%)
    Gastric neoplasms malignant 0/1253 (0%) 1/1251 (0.1%)
    Leukaemias acute lymphocytic 1/1253 (0.1%) 0/1251 (0%)
    Testicular neoplasms malignant 0/1253 (0%) 1/1251 (0.1%)
    Thyroid neoplasms malignant 1/1253 (0.1%) 0/1251 (0%)
    Nervous system disorders
    Any event in SOC 7/1253 (0.6%) 2/1251 (0.2%)
    Seizures and seizure disorders NEC 3/1253 (0.2%) 0/1251 (0%)
    Central nervous system haemorrhages and cerebrovascular accidents 0/1253 (0%) 1/1251 (0.1%)
    Encephalopathies NEC 0/1253 (0%) 1/1251 (0.1%)
    Mononeuropathies 1/1253 (0.1%) 0/1251 (0%)
    Neurological signs and symptoms NEC 1/1253 (0.1%) 0/1251 (0%)
    Optic nerve disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Transient cerebrovascular events 1/1253 (0.1%) 0/1251 (0%)
    Product Issues
    Any event in SOC 0/1253 (0%) 1/1251 (0.1%)
    Device malfunction events NEC 0/1253 (0%) 1/1251 (0.1%)
    Psychiatric disorders
    Any event in SOC 23/1253 (1.8%) 22/1251 (1.8%)
    Suicidal and self-injurious behaviour 13/1253 (1%) 11/1251 (0.9%)
    Depressive disorders 4/1253 (0.3%) 3/1251 (0.2%)
    Substance related and addictive disorders 5/1253 (0.4%) 2/1251 (0.2%)
    Bipolar disorders 0/1253 (0%) 3/1251 (0.2%)
    Anxiety symptoms 1/1253 (0.1%) 1/1251 (0.1%)
    Psychotic disorder NEC 0/1253 (0%) 2/1251 (0.2%)
    Confusion and disorientation 1/1253 (0.1%) 0/1251 (0%)
    Mental disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Schizoaffective and schizophreniform disorders 1/1253 (0.1%) 0/1251 (0%)
    Schizophrenia NEC 0/1253 (0%) 1/1251 (0.1%)
    Somatic symptom disorders 1/1253 (0.1%) 0/1251 (0%)
    Renal and urinary disorders
    Any event in SOC 1/1253 (0.1%) 1/1251 (0.1%)
    Renal failure and impairment 1/1253 (0.1%) 0/1251 (0%)
    Renal lithiasis 0/1253 (0%) 1/1251 (0.1%)
    Reproductive system and breast disorders
    Any event in SOC 1/1253 (0.1%) 0/1251 (0%)
    Testicular and epididymal disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Respiratory, thoracic and mediastinal disorders
    Any event in SOC 3/1253 (0.2%) 2/1251 (0.2%)
    Pulmonary thrombotic and embolic conditions 2/1253 (0.2%) 1/1251 (0.1%)
    Pneumothorax and pleural effusions NEC 1/1253 (0.1%) 1/1251 (0.1%)
    Skin and subcutaneous tissue disorders
    Any event in SOC 1/1253 (0.1%) 0/1251 (0%)
    Skin and subcutaneous tissue ulcerations 1/1253 (0.1%) 0/1251 (0%)
    Vascular disorders
    Any event in SOC 4/1253 (0.3%) 1/1251 (0.1%)
    Peripheral embolism and thrombosis 2/1253 (0.2%) 0/1251 (0%)
    Non-site specific necrosis and vascular insufficiency NEC 0/1253 (0%) 1/1251 (0.1%)
    Vascular hypertensive disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Vascular hypotensive disorders 1/1253 (0.1%) 0/1251 (0%)
    Other (Not Including Serious) Adverse Events
    Vaccine Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 833/1253 (66.5%) 828/1251 (66.2%)
    Blood and lymphatic system disorders
    Any event in SOC 22/1253 (1.8%) 17/1251 (1.4%)
    Lymphatic system disorders NEC 20/1253 (1.6%) 15/1251 (1.2%)
    Anaemias NEC 2/1253 (0.2%) 0/1251 (0%)
    Leukocytoses NEC 0/1253 (0%) 1/1251 (0.1%)
    Red blood cell abnormal findings NEC 0/1253 (0%) 1/1251 (0.1%)
    Spleen disorders 1/1253 (0.1%) 0/1251 (0%)
    Cardiac disorders
    Any event in SOC 2/1253 (0.2%) 5/1251 (0.4%)
    Supraventricular arrhythmias 1/1253 (0.1%) 2/1251 (0.2%)
    Cardiac signs and symptoms NEC 0/1253 (0%) 2/1251 (0.2%)
    Rate and rhythm disorders NEC 1/1253 (0.1%) 1/1251 (0.1%)
    Congenital, familial and genetic disorders
    Any event in SOC 1/1253 (0.1%) 1/1251 (0.1%)
    Male reproductive tract disorders congenital 1/1253 (0.1%) 1/1251 (0.1%)
    Ear and labyrinth disorders
    Any event in SOC 10/1253 (0.8%) 7/1251 (0.6%)
    Ear disorders NEC 3/1253 (0.2%) 5/1251 (0.4%)
    Inner ear signs and symptoms 3/1253 (0.2%) 1/1251 (0.1%)
    External ear disorders NEC 1/1253 (0.1%) 2/1251 (0.2%)
    Middle ear disorders NEC 2/1253 (0.2%) 0/1251 (0%)
    Eustachian tube disorders 1/1253 (0.1%) 0/1251 (0%)
    Hearing losses 0/1253 (0%) 1/1251 (0.1%)
    Tympanic membrane disorders (excl infections) 1/1253 (0.1%) 0/1251 (0%)
    Endocrine disorders
    Any event in SOC 8/1253 (0.6%) 2/1251 (0.2%)
    Thyroid hypofunction disorders 4/1253 (0.3%) 2/1251 (0.2%)
    Endocrine abnormalities of gonadal function NEC 2/1253 (0.2%) 0/1251 (0%)
    Male gonadal function disorders 1/1253 (0.1%) 0/1251 (0%)
    Thyroid hyperfunction disorders 1/1253 (0.1%) 0/1251 (0%)
    Eye disorders
    Any event in SOC 17/1253 (1.4%) 11/1251 (0.9%)
    Lid, lash and lacrimal infections, irritations and inflammations 4/1253 (0.3%) 1/1251 (0.1%)
    Ocular disorders NEC 2/1253 (0.2%) 2/1251 (0.2%)
    Conjunctival and corneal bleeding and vascular disorders 2/1253 (0.2%) 1/1251 (0.1%)
    Ocular sensation disorders 0/1253 (0%) 3/1251 (0.2%)
    Visual disorders NEC 3/1253 (0.2%) 0/1251 (0%)
    Conjunctival infections, irritations and inflammations 1/1253 (0.1%) 1/1251 (0.1%)
    Eyelid movement disorders 1/1253 (0.1%) 1/1251 (0.1%)
    Lacrimation disorders 2/1253 (0.2%) 0/1251 (0%)
    Ocular infections, inflammations and associated manifestations 1/1253 (0.1%) 1/1251 (0.1%)
    Blindness (excl colour blindness) 0/1253 (0%) 1/1251 (0.1%)
    Glaucomas (excl congenital) 1/1253 (0.1%) 0/1251 (0%)
    Refractive and accommodative disorders 1/1253 (0.1%) 0/1251 (0%)
    Retinal, choroid and vitreous infections and inflammations 0/1253 (0%) 1/1251 (0.1%)
    Gastrointestinal disorders
    Any event in SOC 149/1253 (11.9%) 146/1251 (11.7%)
    Diarrhoea (excl infective) 53/1253 (4.2%) 53/1251 (4.2%)
    Nausea and vomiting symptoms 28/1253 (2.2%) 21/1251 (1.7%)
    Gastrointestinal and abdominal pains (excl oral and throat) 22/1253 (1.8%) 13/1251 (1%)
    Stomatitis and ulceration 11/1253 (0.9%) 6/1251 (0.5%)
    Gastrointestinal atonic and hypomotility disorders NEC 6/1253 (0.5%) 9/1251 (0.7%)
    Haemorrhoids and gastrointestinal varices (excl oesophageal) 5/1253 (0.4%) 9/1251 (0.7%)
    Anal and rectal disorders NEC 5/1253 (0.4%) 8/1251 (0.6%)
    Gastrointestinal signs and symptoms NEC 7/1253 (0.6%) 6/1251 (0.5%)
    Gastrointestinal disorders NEC 7/1253 (0.6%) 4/1251 (0.3%)
    Dental pain and sensation disorders 6/1253 (0.5%) 4/1251 (0.3%)
    Dyspeptic signs and symptoms 1/1253 (0.1%) 6/1251 (0.5%)
    Intestinal haemorrhages 2/1253 (0.2%) 5/1251 (0.4%)
    Gastritis (excl infective) 3/1253 (0.2%) 3/1251 (0.2%)
    Colitis (excl infective) 0/1253 (0%) 4/1251 (0.3%)
    Non-site specific gastrointestinal haemorrhages 2/1253 (0.2%) 2/1251 (0.2%)
    Abdominal hernias NEC 2/1253 (0.2%) 1/1251 (0.1%)
    Anal and rectal signs and symptoms 2/1253 (0.2%) 1/1251 (0.1%)
    Dental and periodontal infections and inflammations 2/1253 (0.2%) 1/1251 (0.1%)
    Diaphragmatic hernias 2/1253 (0.2%) 1/1251 (0.1%)
    Flatulence, bloating and distension 1/1253 (0.1%) 2/1251 (0.2%)
    Gingival disorders NEC 2/1253 (0.2%) 1/1251 (0.1%)
    Gingival haemorrhages 2/1253 (0.2%) 1/1251 (0.1%)
    Oesophageal ulcers and perforation 2/1253 (0.2%) 1/1251 (0.1%)
    Tongue disorders 3/1253 (0.2%) 0/1251 (0%)
    Tongue signs and symptoms 1/1253 (0.1%) 2/1251 (0.2%)
    Benign neoplasms gastrointestinal (excl oral cavity) 0/1253 (0%) 2/1251 (0.2%)
    Gastrointestinal inflammatory disorders NEC 2/1253 (0.2%) 0/1251 (0%)
    Oral dryness and saliva altered 1/1253 (0.1%) 1/1251 (0.1%)
    Abdominal findings abnormal 0/1253 (0%) 1/1251 (0.1%)
    Anal and rectal pains 0/1253 (0%) 1/1251 (0.1%)
    Dental disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Faecal abnormalities NEC 0/1253 (0%) 1/1251 (0.1%)
    Gastrointestinal dyskinetic disorders 0/1253 (0%) 1/1251 (0.1%)
    Gastrointestinal fistulae 0/1253 (0%) 1/1251 (0.1%)
    Inguinal hernias 0/1253 (0%) 1/1251 (0.1%)
    Oral soft tissue pain and paraesthesia 0/1253 (0%) 1/1251 (0.1%)
    Peptic ulcers and perforation 1/1253 (0.1%) 0/1251 (0%)
    Rectal inflammations NEC 0/1253 (0%) 1/1251 (0.1%)
    General disorders
    Any event in SOC 138/1253 (11%) 104/1251 (8.3%)
    Injection site reactions 65/1253 (5.2%) 33/1251 (2.6%)
    Asthenic conditions 41/1253 (3.3%) 27/1251 (2.2%)
    Febrile disorders 17/1253 (1.4%) 15/1251 (1.2%)
    Feelings and sensations NEC 10/1253 (0.8%) 9/1251 (0.7%)
    General signs and symptoms NEC 6/1253 (0.5%) 10/1251 (0.8%)
    Pain and discomfort NEC 6/1253 (0.5%) 5/1251 (0.4%)
    Administration site reactions NEC 3/1253 (0.2%) 6/1251 (0.5%)
    Oedema NEC 2/1253 (0.2%) 5/1251 (0.4%)
    Therapeutic and nontherapeutic responses 2/1253 (0.2%) 4/1251 (0.3%)
    Vaccination site reactions 5/1253 (0.4%) 1/1251 (0.1%)
    Mass conditions NEC 0/1253 (0%) 3/1251 (0.2%)
    Withdrawal and rebound effects 2/1253 (0.2%) 1/1251 (0.1%)
    Inflammations 1/1253 (0.1%) 0/1251 (0%)
    Hepatobiliary disorders
    Any event in SOC 3/1253 (0.2%) 3/1251 (0.2%)
    Hepatocellular damage and hepatitis NEC 2/1253 (0.2%) 1/1251 (0.1%)
    Cholecystitis and cholelithiasis 0/1253 (0%) 1/1251 (0.1%)
    Cholestasis and jaundice 0/1253 (0%) 1/1251 (0.1%)
    Hepatobiliary signs and symptoms 1/1253 (0.1%) 0/1251 (0%)
    Immune system disorders
    Any event in SOC 25/1253 (2%) 14/1251 (1.1%)
    Atopic disorders 10/1253 (0.8%) 7/1251 (0.6%)
    Allergies to foods, food additives, drugs and other chemicals 9/1253 (0.7%) 5/1251 (0.4%)
    Allergic conditions NEC 6/1253 (0.5%) 1/1251 (0.1%)
    Anaphylactic and anaphylactoid responses 0/1253 (0%) 1/1251 (0.1%)
    Infections and infestations
    Any event in SOC 531/1253 (42.4%) 549/1251 (43.9%)
    Upper respiratory tract infections 275/1253 (21.9%) 254/1251 (20.3%)
    Neisseria infections 79/1253 (6.3%) 83/1251 (6.6%)
    Viral infections NEC 75/1253 (6%) 72/1251 (5.8%)
    Chlamydial infections 72/1253 (5.7%) 72/1251 (5.8%)
    Treponema infections 32/1253 (2.6%) 41/1251 (3.3%)
    Abdominal and gastrointestinal infections 37/1253 (3%) 29/1251 (2.3%)
    Herpes viral infections 31/1253 (2.5%) 30/1251 (2.4%)
    Streptococcal infections 22/1253 (1.8%) 31/1251 (2.5%)
    Urinary tract infections 20/1253 (1.6%) 24/1251 (1.9%)
    Lower respiratory tract and lung infections 16/1253 (1.3%) 14/1251 (1.1%)
    Papilloma viral infections 12/1253 (1%) 17/1251 (1.4%)
    Bacterial infections NEC 15/1253 (1.2%) 11/1251 (0.9%)
    Eye and eyelid infections 9/1253 (0.7%) 17/1251 (1.4%)
    Skin structures and soft tissue infections 11/1253 (0.9%) 14/1251 (1.1%)
    Dental and oral soft tissue infections 9/1253 (0.7%) 14/1251 (1.1%)
    Ectoparasitic infestations 8/1253 (0.6%) 15/1251 (1.2%)
    Ear infections 8/1253 (0.6%) 10/1251 (0.8%)
    Staphylococcal infections 10/1253 (0.8%) 5/1251 (0.4%)
    Tinea infections 6/1253 (0.5%) 8/1251 (0.6%)
    Influenza viral infections 5/1253 (0.4%) 5/1251 (0.4%)
    Infections NEC 5/1253 (0.4%) 4/1251 (0.3%)
    Male reproductive tract infections 3/1253 (0.2%) 5/1251 (0.4%)
    Fungal infections NEC 5/1253 (0.4%) 1/1251 (0.1%)
    Hepatitis viral infections 1/1253 (0.1%) 4/1251 (0.3%)
    Candida infections 1/1253 (0.1%) 2/1251 (0.2%)
    Molluscum contagiosum viral infections 1/1253 (0.1%) 2/1251 (0.2%)
    Epstein-Barr viral infections 1/1253 (0.1%) 1/1251 (0.1%)
    Giardia infections 1/1253 (0.1%) 1/1251 (0.1%)
    Tuberculous infections 0/1253 (0%) 2/1251 (0.2%)
    Amoebic infections 1/1253 (0.1%) 0/1251 (0%)
    Bone and joint infections 0/1253 (0%) 1/1251 (0.1%)
    Caliciviral infections 1/1253 (0.1%) 0/1251 (0%)
    Clostridia infections 0/1253 (0%) 1/1251 (0.1%)
    Coxsackie viral infections 1/1253 (0.1%) 0/1251 (0%)
    Cytomegaloviral infections 1/1253 (0.1%) 0/1251 (0%)
    Escherichia infections 0/1253 (0%) 1/1251 (0.1%)
    Haemophilus infections 0/1253 (0%) 1/1251 (0.1%)
    Helicobacter infections 1/1253 (0.1%) 0/1251 (0%)
    Nematode infections 0/1253 (0%) 1/1251 (0.1%)
    Injury, poisoning and procedural complications
    Any event in SOC 108/1253 (8.6%) 101/1251 (8.1%)
    Skin injuries NEC 28/1253 (2.2%) 20/1251 (1.6%)
    Muscle, tendon and ligament injuries 24/1253 (1.9%) 23/1251 (1.8%)
    Non-site specific injuries NEC 13/1253 (1%) 9/1251 (0.7%)
    Non-site specific procedural complications 12/1253 (1%) 8/1251 (0.6%)
    Limb fractures and dislocations 9/1253 (0.7%) 10/1251 (0.8%)
    Site specific injuries NEC 8/1253 (0.6%) 8/1251 (0.6%)
    Neurological and psychiatric procedural complications 10/1253 (0.8%) 3/1251 (0.2%)
    Bone and joint injuries NEC 4/1253 (0.3%) 5/1251 (0.4%)
    Thermal burns 2/1253 (0.2%) 7/1251 (0.6%)
    Exposures to agents or circumstances NEC 4/1253 (0.3%) 2/1251 (0.2%)
    Radiation injuries 3/1253 (0.2%) 3/1251 (0.2%)
    Cerebral injuries NEC 3/1253 (0.2%) 2/1251 (0.2%)
    Fractures and dislocations NEC 1/1253 (0.1%) 4/1251 (0.3%)
    Eye injuries NEC 2/1253 (0.2%) 1/1251 (0.1%)
    Skull fractures, facial bone fractures and dislocations 0/1253 (0%) 3/1251 (0.2%)
    Thoracic cage fractures and dislocations 1/1253 (0.1%) 2/1251 (0.2%)
    Chest and lung injuries NEC 2/1253 (0.2%) 0/1251 (0%)
    Gastrointestinal and hepatobiliary procedural complications 0/1253 (0%) 2/1251 (0.2%)
    Ear injuries NEC 0/1253 (0%) 1/1251 (0.1%)
    Overdoses NEC 1/1253 (0.1%) 0/1251 (0%)
    Poisoning and toxicity 1/1253 (0.1%) 0/1251 (0%)
    Reproductive system and breast injuries 0/1253 (0%) 1/1251 (0.1%)
    Spinal fractures and dislocations 0/1253 (0%) 1/1251 (0.1%)
    Vaccination related complications 1/1253 (0.1%) 0/1251 (0%)
    Investigations
    Any event in SOC 39/1253 (3.1%) 63/1251 (5%)
    Vascular tests NEC (incl blood pressure) 28/1253 (2.2%) 47/1251 (3.8%)
    Reproductive hormone analyses 3/1253 (0.2%) 7/1251 (0.6%)
    Liver function analyses 3/1253 (0.2%) 3/1251 (0.2%)
    Red blood cell analyses 2/1253 (0.2%) 2/1251 (0.2%)
    Carbohydrate tolerance analyses (incl diabetes) 2/1253 (0.2%) 1/1251 (0.1%)
    Digestive enzymes 2/1253 (0.2%) 0/1251 (0%)
    Mineral and electrolyte analyses 2/1253 (0.2%) 0/1251 (0%)
    Platelet analyses 0/1253 (0%) 2/1251 (0.2%)
    Bacteria identification and serology (excl mycobacteria) 0/1253 (0%) 1/1251 (0.1%)
    Cardiac auscultatory investigations 1/1253 (0.1%) 0/1251 (0%)
    Coagulation and bleeding analyses 1/1253 (0.1%) 0/1251 (0%)
    Heart rate and pulse investigations 1/1253 (0.1%) 0/1251 (0%)
    Investigations NEC 0/1253 (0%) 1/1251 (0.1%)
    Musculoskeletal and soft tissue tests NEC 1/1253 (0.1%) 0/1251 (0%)
    Mycobacteria identification and serology 0/1253 (0%) 1/1251 (0.1%)
    Tissue enzyme analyses NEC 1/1253 (0.1%) 0/1251 (0%)
    White blood cell analyses 0/1253 (0%) 1/1251 (0.1%)
    Metabolism and nutrition disorders
    Any event in SOC 27/1253 (2.2%) 20/1251 (1.6%)
    Diabetes mellitus (incl subtypes) 7/1253 (0.6%) 3/1251 (0.2%)
    Fat soluble vitamin deficiencies and disorders 3/1253 (0.2%) 5/1251 (0.4%)
    Appetite disorders 5/1253 (0.4%) 1/1251 (0.1%)
    Elevated cholesterol 2/1253 (0.2%) 3/1251 (0.2%)
    Disorders of purine metabolism 3/1253 (0.2%) 0/1251 (0%)
    General nutritional disorders NEC 2/1253 (0.2%) 1/1251 (0.1%)
    Potassium imbalance 2/1253 (0.2%) 1/1251 (0.1%)
    Fluid intake increased 2/1253 (0.2%) 0/1251 (0%)
    Food malabsorption and intolerance syndromes (excl sugar intolerance) 1/1253 (0.1%) 1/1251 (0.1%)
    Lipid metabolism and deposit disorders NEC 2/1253 (0.2%) 0/1251 (0%)
    Water soluble vitamin deficiencies 1/1253 (0.1%) 1/1251 (0.1%)
    Elevated triglycerides 0/1253 (0%) 1/1251 (0.1%)
    Hyperlipidaemias NEC 0/1253 (0%) 1/1251 (0.1%)
    Hypoglycaemic conditions NEC 0/1253 (0%) 1/1251 (0.1%)
    Magnesium metabolism disorders 0/1253 (0%) 1/1251 (0.1%)
    Protein metabolism disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Sugar intolerance (excl glucose intolerance) 0/1253 (0%) 1/1251 (0.1%)
    Musculoskeletal and connective tissue disorders
    Any event in SOC 97/1253 (7.7%) 107/1251 (8.6%)
    Musculoskeletal and connective tissue pain and discomfort 47/1253 (3.8%) 49/1251 (3.9%)
    Muscle pains 25/1253 (2%) 24/1251 (1.9%)
    Joint related signs and symptoms 17/1253 (1.4%) 19/1251 (1.5%)
    Muscle related signs and symptoms NEC 7/1253 (0.6%) 2/1251 (0.2%)
    Tendon disorders 3/1253 (0.2%) 3/1251 (0.2%)
    Bone related signs and symptoms 2/1253 (0.2%) 3/1251 (0.2%)
    Arthropathies NEC 1/1253 (0.1%) 2/1251 (0.2%)
    Bone disorders NEC 1/1253 (0.1%) 2/1251 (0.2%)
    Bursal disorders 1/1253 (0.1%) 2/1251 (0.2%)
    Intervertebral disc disorders NEC 1/1253 (0.1%) 2/1251 (0.2%)
    Muscle weakness conditions 0/1253 (0%) 3/1251 (0.2%)
    Muscle tone abnormalities 0/1253 (0%) 2/1251 (0.2%)
    Cartilage disorders 1/1253 (0.1%) 0/1251 (0%)
    Extremity deformities 1/1253 (0.1%) 0/1251 (0%)
    Joint related disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Musculoskeletal and connective tissue infections and inflammations NEC 0/1253 (0%) 1/1251 (0.1%)
    Osteoarthropathies 0/1253 (0%) 1/1251 (0.1%)
    Rheumatoid arthropathies 1/1253 (0.1%) 0/1251 (0%)
    Soft tissue disorders NEC 0/1253 (0%) 1/1251 (0.1%)
    Synovial disorders 1/1253 (0.1%) 0/1251 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Any event in SOC 18/1253 (1.4%) 17/1251 (1.4%)
    Skin neoplasms benign 13/1253 (1%) 14/1251 (1.1%)
    Lip and oral cavity neoplasms benign 1/1253 (0.1%) 1/1251 (0.1%)
    Skin neoplasms malignant and unspecified (excl melanoma) 2/1253 (0.2%) 0/1251 (0%)
    Soft tissue neoplasms benign NEC 2/1253 (0.2%) 0/1251 (0%)
    Nervous system neoplasms benign NEC 0/1253 (0%) 1/1251 (0.1%)
    Reproductive neoplasms male benign NEC 0/1253 (0%) 1/1251 (0.1%)
    Nervous system disorders
    Any event in SOC 103/1253 (8.2%) 88/1251 (7%)
    Headaches NEC 39/1253 (3.1%) 41/1251 (3.3%)
    Neurological signs and symptoms NEC 30/1253 (2.4%) 22/1251 (1.8%)
    Paraesthesias and dysaesthesias 10/1253 (0.8%) 11/1251 (0.9%)
    Migraine headaches 8/1253 (0.6%) 2/1251 (0.2%)
    Sensory abnormalities NEC 8/1253 (0.6%) 1/1251 (0.1%)
    Disturbances in consciousness NEC 7/1253 (0.6%) 1/1251 (0.1%)
    Mononeuropathies 2/1253 (0.2%) 3/1251 (0.2%)
    Peripheral neuropathies NEC 4/1253 (0.3%) 1/1251 (0.1%)
    Lumbar spinal cord and nerve root disorders 2/1253 (0.2%) 1/1251 (0.1%)
    Narcolepsy and hypersomnia 1/1253 (0.1%) 1/1251 (0.1%)
    Seizures and seizure disorders NEC 1/1253 (0.1%) 1/1251 (0.1%)
    Cervical spinal cord and nerve root disorders 0/1253 (0%) 1/1251 (0.1%)
    Coordination and balance disturbances 0/1253 (0%) 1/1251 (0.1%)
    Disturbances in sleep phase rhythm 0/1253 (0%) 1/1251 (0.1%)
    Facial cranial nerve disorders 0/1253 (0%) 1/1251 (0.1%)
    Memory loss (excl dementia) 1/1253 (0.1%) 0/1251 (0%)
    Mental impairment (excl dementia and memory loss) 0/1253 (0%) 1/1251 (0.1%)
    Neurologic visual problems NEC 1/1253 (0.1%) 0/1251 (0%)
    Sleep disturbances NEC 1/1253 (0.1%) 0/1251 (0%)
    Psychiatric disorders
    Any event in SOC 72/1253 (5.7%) 65/1251 (5.2%)
    Depressive disorders 25/1253 (2%) 22/1251 (1.8%)
    Anxiety symptoms 20/1253 (1.6%) 17/1251 (1.4%)
    Disturbances in initiating and maintaining sleep 8/1253 (0.6%) 12/1251 (1%)
    Substance related and addictive disorders 9/1253 (0.7%) 4/1251 (0.3%)
    Attention deficit and disruptive behaviour disorders 3/1253 (0.2%) 4/1251 (0.3%)
    Anxiety disorders NEC 5/1253 (0.4%) 1/1251 (0.1%)
    Bipolar disorders 2/1253 (0.2%) 3/1251 (0.2%)
    Panic attacks and disorders 3/1253 (0.2%) 2/1251 (0.2%)
    Sexual desire disorders 3/1253 (0.2%) 2/1251 (0.2%)
    Stress disorders 2/1253 (0.2%) 1/1251 (0.1%)
    Emotional and mood disturbances NEC 0/1253 (0%) 2/1251 (0.2%)
    Schizophrenia NEC 2/1253 (0.2%) 0/1251 (0%)
    Behaviour and socialisation disturbances 0/1253 (0%) 1/1251 (0.1%)
    Fear symptoms and phobic disorders (incl social phobia) 0/1253 (0%) 1/1251 (0.1%)
    Fluctuating mood symptoms 1/1253 (0.1%) 0/1251 (0%)
    Mental disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Mood alterations with depressive symptoms 1/1253 (0.1%) 0/1251 (0%)
    Mood disorders NEC 0/1253 (0%) 1/1251 (0.1%)
    Schizoaffective and schizophreniform disorders 1/1253 (0.1%) 0/1251 (0%)
    Sleep disorders NEC 0/1253 (0%) 1/1251 (0.1%)
    Somatic symptom disorders 1/1253 (0.1%) 0/1251 (0%)
    Suicidal and self-injurious behaviour 0/1253 (0%) 1/1251 (0.1%)
    Renal and urinary disorders
    Any event in SOC 19/1253 (1.5%) 23/1251 (1.8%)
    Bladder and urethral symptoms 11/1253 (0.9%) 12/1251 (1%)
    Renal lithiasis 4/1253 (0.3%) 6/1251 (0.5%)
    Urethral disorders NEC 1/1253 (0.1%) 4/1251 (0.3%)
    Urinary abnormalities 1/1253 (0.1%) 2/1251 (0.2%)
    Urinary tract signs and symptoms NEC 2/1253 (0.2%) 1/1251 (0.1%)
    Bladder neoplasms 1/1253 (0.1%) 0/1251 (0%)
    Reproductive system and breast disorders
    Any event in SOC 27/1253 (2.2%) 26/1251 (2.1%)
    Penile disorders NEC (excl erection and ejaculation) 12/1253 (1%) 7/1251 (0.6%)
    Reproductive tract signs and symptoms NEC 5/1253 (0.4%) 4/1251 (0.3%)
    Erection and ejaculation conditions and disorders 1/1253 (0.1%) 5/1251 (0.4%)
    Prostate and seminal vesicles infections and inflammations 2/1253 (0.2%) 4/1251 (0.3%)
    Reproductive tract disorders NEC (excl neoplasms) 3/1253 (0.2%) 1/1251 (0.1%)
    Testicular and epididymal disorders NEC 3/1253 (0.2%) 1/1251 (0.1%)
    Breast signs and symptoms 0/1253 (0%) 2/1251 (0.2%)
    Scrotal disorders NEC 0/1253 (0%) 2/1251 (0.2%)
    Breast disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Pelvic prolapse conditions 0/1253 (0%) 1/1251 (0.1%)
    Sexual function and fertility disorders NEC 1/1253 (0.1%) 0/1251 (0%)
    Spermatogenesis and semen disorders 1/1253 (0.1%) 0/1251 (0%)
    Testicular and epididymal neoplasms 0/1253 (0%) 1/1251 (0.1%)
    Respiratory, thoracic and mediastinal disorders
    Any event in SOC 123/1253 (9.8%) 95/1251 (7.6%)
    Upper respiratory tract signs and symptoms 49/1253 (3.9%) 44/1251 (3.5%)
    Coughing and associated symptoms 34/1253 (2.7%) 24/1251 (1.9%)
    Nasal congestion and inflammations 22/1253 (1.8%) 17/1251 (1.4%)
    Paranasal sinus disorders (excl infections and neoplasms) 15/1253 (1.2%) 10/1251 (0.8%)
    Bronchospasm and obstruction 7/1253 (0.6%) 6/1251 (0.5%)
    Pharyngeal disorders (excl infections and neoplasms) 5/1253 (0.4%) 4/1251 (0.3%)
    Breathing abnormalities 5/1253 (0.4%) 3/1251 (0.2%)
    Nasal disorders NEC 2/1253 (0.2%) 4/1251 (0.3%)
    Respiratory tract disorders NEC 3/1253 (0.2%) 1/1251 (0.1%)
    Laryngeal and adjacent sites disorders NEC (excl infections and neoplasms) 0/1253 (0%) 1/1251 (0.1%)
    Pulmonary oedemas 1/1253 (0.1%) 0/1251 (0%)
    Respiratory failures (excl neonatal) 1/1253 (0.1%) 0/1251 (0%)
    Skin and subcutaneous tissue disorders
    Any event in SOC 112/1253 (8.9%) 86/1251 (6.9%)
    Dermatitis and eczema 29/1253 (2.3%) 17/1251 (1.4%)
    Rashes, eruptions and exanthems NEC 21/1253 (1.7%) 25/1251 (2%)
    Apocrine and eccrine gland disorders 17/1253 (1.4%) 11/1251 (0.9%)
    Dermal and epidermal conditions NEC 11/1253 (0.9%) 11/1251 (0.9%)
    Pruritus NEC 14/1253 (1.1%) 8/1251 (0.6%)
    Erythemas 7/1253 (0.6%) 2/1251 (0.2%)
    Psoriatic conditions 6/1253 (0.5%) 3/1251 (0.2%)
    Acnes 3/1253 (0.2%) 3/1251 (0.2%)
    Angioedemas 2/1253 (0.2%) 1/1251 (0.1%)
    Bullous conditions 2/1253 (0.2%) 1/1251 (0.1%)
    Papulosquamous conditions 1/1253 (0.1%) 2/1251 (0.2%)
    Pilar disorders NEC 1/1253 (0.1%) 1/1251 (0.1%)
    Purpura and related conditions 1/1253 (0.1%) 1/1251 (0.1%)
    Skin and subcutaneous tissue ulcerations 2/1253 (0.2%) 0/1251 (0%)
    Skin cysts and polyps 1/1253 (0.1%) 1/1251 (0.1%)
    Skin preneoplastic conditions NEC 2/1253 (0.2%) 0/1251 (0%)
    Alopecias 1/1253 (0.1%) 0/1251 (0%)
    Dermatitis ascribed to specific agent 0/1253 (0%) 1/1251 (0.1%)
    Hyperkeratoses 1/1253 (0.1%) 0/1251 (0%)
    Hyperpigmentation disorders 0/1253 (0%) 1/1251 (0.1%)
    Photosensitivity and photodermatosis conditions 0/1253 (0%) 1/1251 (0.1%)
    Rosaceas 0/1253 (0%) 1/1251 (0.1%)
    Social circumstances
    Any event in SOC 0/1253 (0%) 1/1251 (0.1%)
    Crime victims 0/1253 (0%) 1/1251 (0.1%)
    Vascular disorders
    Any event in SOC 33/1253 (2.6%) 49/1251 (3.9%)
    Vascular hypertensive disorders NEC 25/1253 (2%) 42/1251 (3.4%)
    Peripheral vascular disorders NEC 5/1253 (0.4%) 4/1251 (0.3%)
    Haemorrhages NEC 2/1253 (0.2%) 2/1251 (0.2%)
    Lymphoedemas 1/1253 (0.1%) 0/1251 (0%)
    Peripheral embolism and thrombosis 0/1253 (0%) 1/1251 (0.1%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Jessica Andriesen, PhD, Associate Director of HVTN SDMC Operations
    Organization Fred Hutchinson Cancer Research Center
    Phone 206-667-5812
    Email jandries@fredhutch.org
    Responsible Party:
    National Institute of Allergy and Infectious Diseases (NIAID)
    ClinicalTrials.gov Identifier:
    NCT00865566
    Other Study ID Numbers:
    • HVTN 505
    • 10753
    • NCT00919789
    First Posted:
    Mar 19, 2009
    Last Update Posted:
    Oct 15, 2021
    Last Verified:
    Oct 1, 2021