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Completed

NCT Number: NCT02798692

Trial to Evaluate Safety and Immunogenicity of a Vaccine Against HCMV

The objectives of this first-in-human is to evaluate the safety and the immunogenicity of three administrations of a bivalent vaccine candidate against human cytomegalovirus, at three different dose levels.

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Center for Vaccinology Ghent

Ghent, East Flanders, 9000, Belgium

About this study

Hookipa Biotech AG is developing a replication-deficient lymphocytic choriomeningitis virus (rLCMV) vector platform. HB-101 is a bivalent vaccine containing two recombinant, replication-deficient lymphocytic choriomeningitis virus (rLCMV) vectors, one expressing the pp65 protein of the human cytomegalovirus (HCMV) and one expressing the gB protein of human cytomegalovirus (HCMV).

This Phase 1 will enroll three successive cohorts of 18 healthy volunteers. Each cohort will receive either a low dose, a middle dose or a high dose of the vaccine (n=14 volunteers), or placebo (n=4). A DSMB will review the safety data for the low dose cohort, before progressing to the middle, and so before high dose. Eight DSMB meetings have been planned for the whole study.

The subjects will be followed up to 12 months post first administration.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Signed informed consent
  • Male or female, aged 18-45 years, in good health.
  • Negative for HCMV
  • Body mass index between 19 and 32 kg/m²
  • Willing to forego receipt of other routine vaccinations (with the exception of seasonal influenza vaccination) for five months after study entry.
  • For female volunteers: use of effective birth control for at least 2 months prior to study entry and willing to use effective birth control measures up to the Month 12 visit
  • Comply with the requirements of this protocol (e.g. return for follow-up visits), as judged by the Investigator.

Exclusion criteria

  • Works as a childcare provider.
  • Pregnant or breastfeeding woman.
  • Any screening safety laboratory value that is 2 times above the upper limit of normal value.
  • Any confirmed or suspected immunodeficiency or autoimmune disorder.
  • Treatment with any chronic immunosuppressive medication or other immuno-modifying drugs within 6 months prior to study entry. However, inhaled and topical steroids are allowed.
  • Any vaccination other than for seasonal influenza within 3 months prior to study entry.
  • Previous vaccination with an investigational HCMV vaccine.
  • Receipt of blood, blood products and/or immunoglobulins within 3 months prior to study entry.
  • History of severe allergic reactions and /or anaphylaxis
  • Allergy to any component of the vaccine preparation.
  • Expected to be unavailable to complete study follow up.
  • Tested positive for HIV, HBsAg and/or anti-HCV.
  • Participating in another clinical trial.
  • Subject with a rash, dermatological condition or tattoos in the area of the injection site, as these may interfere with administration site reaction rating.

Treatment and study plan

Low dose HB-101

Biological

Three intra muscular administrations at Day 0, Month 1 and Month 3

Medium dose HB-101

Biological

Three intra muscular administrations at Day 0, Month 1 and Month 3

High dose HB-101

Biological

Three intra muscular administrations at Day 0, Month 1 and Month 3

Placebo

Biological

Three intra muscular administrations at Day 0, Month 1 and Month 3. The diluent is used as placebo.

Primary outcomes

  1. Safety primary outcome (local solicited symptoms)

    Time frame: Day 0 to Day 7 after each administration

    Local solicited symptoms will be assessed by diary card and scripted questions for 7 days after each administration: administration site pain, induration, erythema, pruritus and swelling

  2. Safety primary outcome (general solicited symptoms)

    Time frame: Day 0 to Day 7 after each administration

    General solicited symptoms will be assessed by diary card and scripted questions for 7 days after each administration: malaise, fatigue, body temperature (measured axillary), generalized myalgia.

  3. Safety primary outcome (Unsolicited AE´s)

    Time frame: From Day 0 to Month 4

    Unsolicited AEs will be recorded through open-ended general inquiries

  4. Safety primary outcome (SAEs and pregnancies)

    Time frame: From Day 0 to Month 12

    SAEs and pregnancies will be recorded during the whole study

  5. Safety primary outcome (Vital signs)

    Time frame: From Day 0 to Month 12

    Vital signs (blood pressure, heart rate and body temperature)

  6. Safety primary outcome (physical examination)

    Time frame: From Day 0 to Month 12

    general evaluation based on the Investigator judgment and local evaluation of the administration site

  7. Safety primary outcome (Clinical evaluation - part I)

    Time frame: From Day 0 to Month 12

    Complete blood count

  8. Safety primary outcome (Clinical evaluation - part II)

    Time frame: From Day 0 to Month 12

    Comprehensive Metabolic Panel

Secondary outcomes

  1. Humoral Immunogenicity

    Time frame: From Day 0 to Month 12

    • Human cytomegalovirus (HCMV) gB immunoglobulin G (IgG) by enzyme-linked immunosorbent assay (ELISA)
    • HCMV neutralization on MRC-5 cells
    • HCMV neutralization on ARPE-19 cells (depending on neutralization assay results in MRC-5 cells)
    • Lymphocytic choriomeningitis virus (LCMV) neutralization on ARPE-19 cells
  2. Cellular Immunogenicity

    Time frame: From Day 0 to Month 12

    • LCMV NP-specific interferon γ (IFN-γ) Enzyme-Linked Immunospot Assay (ELISPOT)
    • LCMV NP-specific intracellular cytokine staining (ICS) of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L
    • HCMV pp65-specific IFN-γ ELISPOT
    • HCMV gB-specific IFN-γ ELISPOT
    • HCMV pp65-specific ICS of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L
    • HCMV gB-specific ICS of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L

Sponsors and collaborators

Lead sponsor

Hookipa Biotech GmbH

Industry

Collaborators

  • Centre for Vaccinology Ghent - CEVAC

Registry information

Official study title

Randomized, Placebo-controlled, Double-blind Phase I Dose-escalating Trial to Evaluate the Safety and Immunogenicity of a Vaccine Against Human Cytomegalovirus

Important dates

Study start
2016
Primary completion
2017
Study completion
2018
First posted
Jun 14, 2016
Registry last updated
Apr 3, 2018

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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