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Completed

NCT Number: NCT02685020

Safety, Tolerability and Immunogenicity Study of Different Vaccine Schedules With Ad26.Mos.HIV and Clade C Glycoprotein (gp)140 in Healthy Human Immunodeficiency Virus (HIV)-Uninfected Adults

The primary purpose of this study is to assess safety, tolerability of the different vaccine schedules (different regimen durations and different number of dose administrations) with Ad26.Mos.HIV and Clade C Glycoprotein (gp) 140 and to assess Envelope (Env)-binding Antibody (Ab) responses of the different vaccine schedules.

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Key information

About this study

This is a phase 1 single-center, randomized (the study drug is assigned by chance), parallel group (each group of participants will be treated at the same time), placebo-controlled (study in which the experimental treatment or procedure is compared to a pretend treatment with no drug in it to test if the drug has a real effect), and double-blind (neither physician nor participant knows the treatment that the participant receives) study. Participants will be randomized in to 3 groups and will receive study vaccines or placebo. Group 1 will have 4 vaccination time points during 48 weeks, Groups 2 and 3 will have 3 vaccination time points during 24 weeks. The study comprises a Screening Period (up to 4 weeks), a Vaccination Period (maximum 48 weeks), and a Follow-up Period (up to 72 weeks). Participants' safety will be monitored throughout the study. An optional Long-term Extension (LTE) phase (approximately 1 year after Week 72) will be performed for participants randomized to receive study vaccine, who have received all planned vaccinations and are negative for HIV infection at Week 72. The duration of the participation will be approximately 124 weeks for participants participating to the optional LTE phase.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Each participant must sign an informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and is voluntarily willing to participate in the study
  • Participant must be healthy on the basis of physical examination, medical history, electrocardiogram (ECG), and vital signs measurement performed at Screening
  • Participants are negative for Human Immunodeficiency Virus (HIV) infection at Screening
  • All female participants of childbearing potential must have a negative serum pregnancy test (beta human chorionic gonadotropin [beta hCG]) at the Screening visit, and a negative urine pregnancy test pre-dose on Day 1
  • Participants are willing/able to adhere to the prohibitions and restrictions specified in the protocol and study procedures

Exclusion criteria

  • Participant has chronic hepatitis B or active hepatitis C, active syphilis infection, chlamydia, gonorrhea, or trichomonas . Active syphilis documented by serology unless positive serology is due to past treated infection
  • In the 12 months prior to randomization, participant has a history of newly acquired herpes simplex virus type 2, syphilis, gonorrhea, non-gonococcal urethritis, chlamydia, pelvic inflammatory disease, trichomonas, mucopurulent cervicitis, epididymitis, proctitis, lymphogranuloma venereum, chancroid, or hepatitis B
  • Participant has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant (example, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments
  • Participant has had major surgery within 4 weeks prior to Screening or planned major surgery through the course of the study
  • Participant has had a thyroidectomy or active thyroid disease requiring medication during the last 12 months

Treatment and study plan

Ad26.Mos.HIV

Biological

Recombinant replication-deficient Ad26 vectored vaccine and consists of 3 Ad26 vectors, one containing a mosaic insert of envelope (Env) sequence, and 2 vectors containing mosaic inserts of Gag and Pol sequences (Ad26.Mos.1.Env + Ad26.Mos1.Gag-Pol + Ad26.Mos2.Gag-Pol). Total dose is 5*10^10 viral particle per 0.5 milliliter (mL) injection administered intramuscularly.

Clade C gp140

Biological

The Clade C gp140 vaccine containing 250 mcg of total protein, mixed with aluminum phosphate adjuvant, per 0.5 mL injection administered intramuscularly.

Placebo

Drug

Normal saline, 0.5 mL injection administered intramuscularly.

Primary outcomes

  1. Titer to HIV-Envelope Specific Binding Antibodies Assessed by Env-Ab-binding Assay

    Time frame: Up to Week 72

  2. Breadth of HIV-Envelope Specific Binding Antibodies Assessed by Env-Ab-binding Assay

    Time frame: Up to Week 72

  3. Number of Participants With Local and Systemic Reactogenicity for 8 Days After Each Vaccination

    Time frame: Up to 8 days after each vaccination

    Participants will be asked to note occurrences of local reactions: pain/tenderness, erythema or swelling/induration at the injection site, and systemic events: fever (temperature measurement), fatigue, headache, nausea, myalgia and chills daily for 8 days post-vaccination. These occurrences will be recorded through the diary card provided to serve as a reminder to the participants for the next clinic visit.

  4. Treatment Emergent Adverse Events (AEs)

    Time frame: Up to Week 72

  5. Serious Adverse Events (SAEs) and AEs of Special Interest (AESI)

    Time frame: Up to Week 124

  6. Discontinuations From Vaccination or From Study due to AEs

    Time frame: At the time of discontinuation from vaccination or from study (Up to Week 72)

  7. Number of Participants With AEs or SAEs

    Time frame: Up to 28 days after each vaccination

Secondary outcomes

  1. Env-Specific Functional Antibodies: Phagocytosis Score

    Time frame: Up to Week 72

  2. Env-Specific Functional Antibodies: Breadths

    Time frame: Up to Week 72

  3. Env-Specific Binding Antibody Isotypes: Titers

    Time frame: Up to Week 72

    The Isotyping (Clade C) (IgA, IgG1-4)- Env binding antibody titers will be assessed using ELISA.

  4. Env-Specific Binding Antibody Isotypes: Breadths

    Time frame: Up to Week 72

    The Isotyping (Clade C) (IgA, IgG1-4)- Env binding antibody breadths will be assessed using ELISA.

  5. Env-Specific Neutralizing Antibodies (nAbs): Titers

    Time frame: Up to Week 72

  6. Env-Specific Neutralizing Antibodies (nAbs): Breadths

    Time frame: Up to Week 72

  7. Induction of New T-cell Immune Response by the Vaccine

    Time frame: Up to Week 72

    Induction of new T-cell immune response against one or more of the vaccine epitopes using Interferon gamma Enzyme Linked Immuno spot assay (IFNg-ELISPOT assay) measuring Spot forming Units per 1 million peripheral blood mononuclear cells (SFU/1 mio PBMCs) above threshold (> 50 sfu/mio PBMC).

  8. Change From Baseline of the Frequency of HIV-Specific PBMC and/or CD4 and/or CD8 T cells as Measured by ELISpot Interferon (IFN) Gamma

    Time frame: Up to Week 72

Other outcomes

  1. Mucosal Immunogenicity

    Time frame: Up to week 72

    Immune Responses to the Different Vaccine Schedules in Mucosal Secretions.

Sponsors and collaborators

Lead sponsor

Janssen Vaccines & Prevention B.V.

Industry

Registry information

Official study title

A Randomized, Parallel-group, Placebo-controlled, Double-blind Phase 1 Study in Healthy HIV-uninfected Adults to Evaluate Safety/Tolerability and Immunogenicity of Different Vaccine Schedules With Ad26.Mos.HIV and Clade C gp140

Important dates

Study start
2016
Primary completion
2018
Study completion
2019
First posted
Feb 18, 2016
Registry last updated
Feb 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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