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TuberculosisPhase 2NCT00707967

Safety and Immunogenicity of a Candidate Tuberculosis (TB) Vaccine in HIV-positive Adults.

A Phase 2 study testing GSK's candidate Mycobacterium tuberculosis vaccine 692342 in people with Tuberculosis, run by GlaxoSmithKline at 1 site in Switzerland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will assess the safety and immunogenicity of a GSK Biologicals' candidate TB vaccine (692342) administered at 0, 1 month to HIV-positive adults living in Switzerland. Read more about this study

Who is it for?
Ages 18 to 50 years
Conditions the study is for
Tuberculosis
What is being tested?
GSK's candidate Mycobacterium tuberculosis vaccine 692342
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
37 participants
Where
1 siteSwitzerland
Study dates
30 Jun 2008to 27 May 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Subjects who the Investigator believes that they can and will comply with the requirements of the protocol.
  • A male or female between, and including, 18 and 50 years of age at the time of the first vaccination.
  • Written informed consent obtained from the subject prior to any study procedure.
  • Subjects must be HIV-positive and must have:
  • received Highly Active Antiretroviral therapy for a minimum of 12 consecutive months prior to screening
  • documented suppressed HIV-1 RNA levels following HAART-treatment.
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  • a protocol defined CD4+ T cell count at screening
  • If the subject is female, she must be of non-childbearing potential, or she must practice adequate contraception for 30 days prior to vaccination, have a negative pregnancy test and continue such precautions for 2 months after completion of vaccination.
  • Clinically acceptable laboratory values prior to randomisation as determined by the Investigator.
  • No evidence of TB disease with no pulmonary pathology as confirmed by chest X-ray.
  • No history of extrapulmonary TB.
  • No history of chemotherapy for TB.

Who cannot join

  • Any change in antiretroviral drug regimen within 12 weeks prior to screening.
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Administration of a registered live vaccine not foreseen by the study within 30 days preceding the first dose of study vaccine and administration of a registered inactivated vaccine within 14 days preceding the first dose of study vaccine.
  • History of previous administration of experimental Mycobacterium tuberculosis vaccines.
  • History of previous exposure to experimental products containing components of the experimental vaccine.
  • Chronic administration of immunosuppressive or other immune-modifying drugs within six months prior to the first vaccine dose.
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  • Administration of any immunoglobulins, any immunotherapy and/or any blood products within the three months preceding the first dose of study vaccination, or planned administrations during the study period.
  • Any condition or illness (acute, chronic or history) or medication, which in the opinion of the Investigator might interfere with the evaluation of the safety or immunogenicity of the vaccine.
  • Planned participation or participation in another experimental protocol during the study period.
  • A family history of congenital or hereditary immunodeficiency. •Any chronic drug therapy, other than HAART or prophylaxis for opportunistic HIV-related infections to be continued during the study period. Vitamins and/or dietary supplements, birth control pills, anti-histamines for seasonal allergies and SSRIs are allowed.
  • Subjects taking any of the following medication: systemic steroids, interleukins, systemic interferons or systemic chemotherapy.
  • History of allergic reactions or anaphylaxis to any vaccine.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  • History of chronic alcohol consumption and/or drug abuse which in the Investigator's opinion would put the subject at risk.
  • Pregnant female, lactating female or female planning to become pregnant or stop contraception.

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • GSK Investigational Site

    Lausanne, 1011

Other trials in Switzerland

About this study

Official title: Safety and Immunogenicity of a Candidate Tuberculosis (TB) Vaccine (692342) in HIV-positive Adults.

This study will assess the safety and immunogenicity of a GSK Biologicals' candidate TB vaccine (692342) administered at 0, 1 month to HIV-positive adults living in Switzerland.

Conditions
Tuberculosis
Being tested
GSK's candidate Mycobacterium tuberculosis vaccine 692342, Control vaccine with the adjuvant system., Control vaccine with physiological saline
Keywords
Tuberculosis vaccine
Medical subject headings
Tuberculosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GSK's candidate Mycobacterium tuberculosis vaccine 692342Biological

    Intramuscular injection, 2 doses at 0, 1 month

  • Control vaccine with the adjuvant system.Biological

    Intramuscular injection, 2 doses at 0, 1 month

  • Control vaccine with physiological salineBiological

    Intramuscular injection, 2 doses at 0, 1 month

Study groups in NCT00707967
Study groupRoleWhat they receive
Group AExperimentalSubjects receiving the candidate vaccine
Receives: Biological: GSK's candidate Mycobacterium tuberculosis vaccine 692342
Group BPlacebo comparatorSubjects receiving the adjuvant
Receives: Biological: Control vaccine with the adjuvant system.
Group CPlacebo comparatorSubjects receiving physiological saline
Receives: Biological: Control vaccine with physiological saline

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects With Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site. Relationship analysis was not performed.

    Measured: During the 7-day period (Days 0-6) post vaccination following each dose

  2. Number of Subjects With Solicited General Symptoms

    Assessed solicited general symptoms were fatigue, temperature [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)], gastrointestinal symptoms (gastro) [nausea, vomiting, diarrhoea and/or abdominal pain], headache, malaise and myalgia. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever ≥ 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination.

    Measured: During the 7-day period (Days 0-6) post vaccination following each dose

  3. Number of Subjects With Unsolicited Adverse Events (AEs)

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset out-side the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

    Measured: During the 30-day period (Days 0-29) post vaccination

  4. Number of Subjects With Serious Adverse Events (SAEs)

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity

    Measured: During the entire study period, from Day 0 up to Day 210

  5. Number of Subjects With Normal Biochemical and Haematological Levels

    Among biochemical and haematological parameters assessed were alanine aminotransferase [ALT], aspartate aminotransferase [AST], basophils [BAS], creatinine [CREA], eosinophil [EOS]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  6. Number of Subjects With Normal Haematological Levels

    Among biochemical and haematological parameters assessed were haematocrit [Hct], haemoglobin [Hgb], lymphocytes [LYM], monocytes [MON], neutrophils [NEU]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  7. Number of Subjects With Normal Haematological Levels

    Among biochemical and haematological parameters assessed were platelets [PLA], red blood cells [RBC] and white blood cells [WBC]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  8. Number of Subjects With Biochemical and Haematological Levels Below Normal

    Among biochemical and haematological parameters assessed were alanine aminotransferase [ALT], aspartate aminotransferase [AST], basophils [BAS], creatinine [CREA], eosinophil [EOS]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  9. Number of Subjects With Haematological Levels Below Normal

    Among biochemical and haematological parameters assessed were haematocrit [Hct], haemoglobin [Hgb], lymphocytes [LYM], monocytes [MON], neutrophils [NEU]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  10. Number of Subjects With Haematological Levels Below Normal

    Among biochemical and haematological parameters assessed were [PLA], red blood cells [RBC] and white blood cells [WBC]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  11. Number of Subjects With Biochemical and Haematological Levels Above Normal

    Among biochemical and haematological parameters assessed were alanine aminotransferase [ALT], aspartate aminotransferase [AST], basophils [BAS], creatinine [CREA], eosinophil [EOS]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  12. Number of Subjects With Haematological Levels Above Normal

    Among biochemical and haematological parameters assessed were haematocrit [Hct], haemoglobin [Hgb], lymphocytes [LYM], monocytes [MON], neutrophils [NEU]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

  13. Number of Subjects With Haematological Levels Above Normal

    Among biochemical and haematological parameters assessed were [PLA], red blood cells [RBC] and white blood cells [WBC]. Levels of haematological/biochemical parameters assessed in relation to normal laboratory values were - normal, below and above.

    Measured: At Day 0, 7, 30, 37 and 60

Secondary outcomes (5)
  1. Frequency of Mycobacterium Tuberculosis Fusion Protein (M72) Specific Cluster of Differentiation 4/8 (CD4/8+) T Cells Expressing at Least Two Different Cytokines

    Among cytokines expressed were interleukin-2 [IL-2] and/or interferon-gamma [IFN-γ] and/or tumour necrosis factor-alpha [TNF-α] and/or cluster of differentiation 40-ligand [CD40-L]. Analysis of cytokines expression was done by means of in vitro flow cytometry using intracellular cytokine staining (ICS).

    Measured: At Day 0, 30, 60 and 210

  2. Frequency of M72 Specific CD4/8+ T Cells Expressing at Least One Cytokine and Another Signal Molecule

    Expressed cytokine combinations for CD4+ T cells were CD40-L and interleukin-2 [IL-2] or interferon-gamma [IFN-γ] or tumour necrosis factor-alpha [TNF-α]; IL-2 and CD40-L, or IFN-γ, or TNF-α; IFN-γ and CD40-L, or IL-2, or TNF-α; TNF-α and CD40-L, or IL-2, or IFN-γ.

    For CD8+ T cells no vaccine induced responses were observed, thus results are presented only for the frequency of M72-specific CD8+ T cells expressing at least two cytokines.

    Measured: At Day 0, 30, 60 and 210

  3. Cell Count of CD4+ T Cells

    CD4+ T cell counts are defined by values greater than (>) 200 cells per cubic millimeters (mm3) at screening for enrolment into the study.

    Measured: At Day 0, 30, 60 and 210

  4. Anti-M72 Specific Antibody Concentrations

    Concentrations given in Enzyme-Linked Immunosorbent Assay units per milliliter (EL.U/mL) were expressed in Geometric Mean Concentrations (GMCs).

    Measured: At Day 0, 30, 60 and 210

  5. Number of Subjects With Significant Highly Active Anti-Retroviral Therapy (HAART) Changes

    Recorded significant HAART change refers to one subject switching the Combivir drug to Truvada as planned by personal physician, with no relationship to vaccination, prior to study enrolment.

    Measured: From Day 60 to Day 210

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jul 2008 (estimated)
  2. Study start30 Jun 2008
  3. Primary completion27 May 2009
  4. Study completion27 May 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
37 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00707967
Sponsor's protocol ID
111517
Status last verified
Nov 2016
First submitted
27 Jun 2008
Last updated
24 Aug 2018

Publications

  • Thacher EG, Cavassini M, Audran R, Thierry AC, Bollaerts A, Cohen J, Demoitie MA, Ejigu D, Mettens P, Moris P, Ofori-Anyinam O, Spertini F. Safety and immunogenicity of the M72/AS01 candidate tuberculosis vaccine in HIV-infected adults on combination antiretroviral therapy: a phase I/II, randomized trial. AIDS. 2014 Jul 31;28(12):1769-81. doi: 10.1097/QAD.0000000000000343.

    PubMed 24911353
  • Roy-Ghanta S, Van der Most R, Li P, Vaughn DW. Responses to A(H1N1)pdm09 influenza vaccines in participants previously vaccinated with seasonal influenza vaccine: a randomized, observer-blind, controlled study. J Infect Dis. 2014 Nov 1;210(9):1419-30. doi: 10.1093/infdis/jiu284. Epub 2014 May 26.

    PubMed 24864125

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GSK's candidate Mycobacterium tuberculosis vaccine 692342 in people with Tuberculosis, run by GlaxoSmithKline at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jan 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects With Solicited Local Symptoms (time frame: During the 7-day period (Days 0-6) post vaccination following each dose). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00707967, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2018.

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