TaMoVac II: A Phase II Trial to Assess the Safety and Immunogenicity of DNA Priming Administered by the ID Zetajet® With or Without ID Derma Vax™ Electroporation Followed by IM MVA Boosting in Healthy Volunteers in Tanzania and Mozambique
Study Details
Study Description
Brief Summary
Electroporation will increase the efficiency of DNA priming in terms of immune responses and will lead to a dose sparing DNA vaccine regimen. Furthermore increased DNA vaccine concentration will reduce the number of shots necessary to deliver the full dose and induce comparable immune responses as with lower DNA vaccine concentrations.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: 2 injections of DNA administered by Zetajet This arm will receive 600 micrograms of HIVIS DNA given as 2 injections using the Zetajet device each injection will comprise of 0.1 ml at a concentration of 3mg/ml |
Biological: HIVIS DNA vaccine
Device: Zetajet
Biological: Modified Vaccinia Ankara (MVA-CDMR)
|
Experimental: 2 injections DNA by Zetajet and electroporation This arm will receive 600 micrograms of HIVIS DNA given as 2 injections using the Zetajet device each injection will comprise of 0.1 ml at a concentration of 3mg/ml followed by electroporation using the Derma Vax device. |
Biological: HIVIS DNA vaccine
Device: Zetajet
Device: Derma Vax Electroporation
Biological: Modified Vaccinia Ankara (MVA-CDMR)
|
Experimental: 1 injection DNA by Zetajet and electroporation This arm will receive 600 micrograms of HIVIS DNA given in 1 injection using the Zetajet device the injection will comprise of 0.1 ml at a concentration of 6mg/ml followed by electroporation using the Derma Vax device. |
Biological: HIVIS DNA vaccine
Device: Zetajet
Device: Derma Vax Electroporation
Biological: Modified Vaccinia Ankara (MVA-CDMR)
|
Outcome Measures
Primary Outcome Measures
- The presence of an interferon gamma ELISpot responses to a pool of HIV peptides encoded by the vaccine to which there was no response at baseline [2 weeks after the last vaccination]
- Grade 3 or above local and systemic solicited adverse events [Within 2 weeks post each immunization up to week 64 from enrollment]
Secondary Outcome Measures
- The presence of CD4+ and CD8+ T-cell cytokine responses to pools of HIV peptides assessed by Intracellular cytokine staining [2 weeks post last vaccination]
Other Outcome Measures
- Any grade of adverse event that results in a clinical decision to discontinue further immunizations. [After receiving the first immunization until 64 weeks from enrollment]
- The presence of HIV-specific binding antibodies and the titer when these are present [Up to week 64 from enrollment]
- The presence of neutralizing antibodies and the titer when these are present [Approximately between week 64-68 after enrollment]
- The magnitude of interferon gamma ELISpot responses measured by the number of spot forming cells per million PBMCs in response to pools of HIV-peptides in the assay [2 weeks post the last vaccination]
- Any grade of adverse event that occurs in a participant that has received at lease one immunization [After the first immunization up to 64 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Willing to undergo counselling and HIV testing.
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Have a negative antigen/antibody ELISA for HIV infection.
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Able to give informed consent.
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Basic abilities to read and write.
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Satisfactory completion of an assessment of understanding prior to enrolment defined as 90% correct answers after three opportunities to take test.
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Resident of the region where the study is taking place.
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At low risk of HIV infection.
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Verbal assurances for adequate birth control measures.
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Healthy as evidenced by clinical and laboratory measures
Exclusion Criteria:
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At risk of HIV infection.
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Active tuberculosis.
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A history of immunodeficiency, ongoing medical and/or psychiatric condition and/or chronic illness requiring continuous or frequent medical intervention.
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Autoimmune disease.
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Hives and severe eczema.
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Substance abuse problems.
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History of grand-mal epilepsy.
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Received blood or blood products or immunoglobulins in the past 3 months.
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Receiving immunosuppressive therapy such as systemic corticosteroids or cancer chemotherapy.
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Use of experimental therapeutic agents within 30 days of study entry.
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History of cardiac disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Instituto Nacional de Saude | Maputo | Mozambique | ||
2 | Muhimbili University of Health and Allied Sciences | Dar es Salaam | Tanzania | ||
3 | Mbeya Medical Research Programme | Mbeya | Tanzania |
Sponsors and Collaborators
- Muhimbili University of Health and Allied Sciences
- Swedish Institute for Infectious Disease Control
- Karolinska Institutet
- US Military HIV Research Program
- Medical Research Council
- National Institute for Medical Research, Tanzania
- Ludwig-Maximilians - University of Munich
- Imperial College London
- Mbeya medical research program
- Instituto Nacional de Saúde, Mozambique
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- TaMoVac II