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TuberculosisPhase 2C-010-402NCT02414828

A Study to Evaluate the Safety of AERAS-402 in Adults Recently Treated for Pulmonary TB

A Phase 2 study testing AERAS-402 3 x 10^8 vp, AERAS-402 3 x 10^9 vp and AERAS-402 3 x 10^10 vp in people with Tuberculosis, run by Aeras at 1 site in South Africa.

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 was a double-blind, randomized, placebo-controlled dose-escalation study in adults recently treated for pulmonary TB. The dose of AERAS-402 increased in successive dose groups. Enrollment into a dose group was sequential. Enrollees were stratified based on time from the start of TB treatment. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Tuberculosis
What is being tested?
AERAS-402 3 x 10^8 vp, AERAS-402 3 x 10^9 vp and AERAS-402 3 x 10^10 vp
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
72 participants
Where
1 siteSouth Africa
Study dates
Oct 2008to Nov 2010
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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Is male or female.
  • Is age 18 through 45 years on Study Day 0.
  • Has completed the written informed consent process.
  • Has a history of pulmonary tuberculosis diagnosed by either a sputum smear positive for acid-fast bacilli (AFB) or a sputum culture positive for Mtb.
  • Has initiated effective chemotherapy for tuberculosis between one month (30 days) and four months (120 days) before Study Day 0, with improvement in clinical signs and/or symptoms of disease,
  • OR:
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  • has initiated effective chemotherapy for tuberculosis at least 12 months (360 days) before Study Day 0, and is considered cured.
  • For subjects currently receiving chemotherapy for tuberculosis they must have been fully compliant with previously prescribed tuberculosis therapy and agree to complete currently prescribed tuberculosis therapy.
  • Agrees to avoid elective surgery for the full duration of the study.
  • For female subjects: agrees to avoid pregnancy for the full duration of the study.
  • Agrees to stay in contact with the study site for the full duration of the study, providing updated contact information as necessary, and has no current plans to move from the study area during the duration of the study.
  • Has completed simultaneous enrollment in Aeras Vaccine Development Registry Protocol.

Who cannot join

  • Fever ≥37.5°C.
  • Evidence of a new acute illness that may compromise the safety of the subject in the study.
  • Evidence of any significant active infection other than tuberculosis.
  • Evidence of central nervous system tuberculosis or pleural tuberculosis.
  • Previous medical history that may compromise the safety of the subject in the study, including but not limited to: severe impairment of pulmonary function from tuberculosis infection or other pulmonary disease; chronic illness with signs of cardiac or renal failure; suspected progressive neurological disease; or uncontrolled epilepsy or infantile spasms.
  • Evidence of any systemic disease or any acute or chronic illness that may interfere with the evaluation of the safety of the vaccine.
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  • History or laboratory evidence of any past, present or future possible immunodeficiency state, including but not limited to any laboratory indication of HIV-1 infection.
  • History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine.
  • Received any investigational drug therapy or vaccine within 182 days before the first dose of study vaccine in this protocol.
  • Received any adenovirus-based vaccine previously.
  • For female subjects: Currently pregnant, lactating/nursing, or a positive serum or urine βhCG
  • Severe anemia, defined as a hemoglobin less than 10 g/dL or a hematocrit less than 30 percent.
  • Urine toxicology screen positive for opiates, cocaine, or amphetamines.
  • Anal intercourse with another man at least one time (with or without condoms).
  • Exchange of goods, money, services or drugs for sex.
  • Use of intravenous drugs.
  • Sexual intercourse or genital contact within the last 12 months with a known HIV positive individual.
  • Vaginal intercourse within the last 12 months without use of a condom with a known user of intravenous drugs.
  • Oral to genital contact within the last 12 months with a known user of intravenous drugs.
  • Vaginal intercourse within the last 12 months without use of a condom with an individual known to have more than one sex partner.
  • Oral to genital contact within the last 12 months with an individual known to have more than one sex partner.

Trial locations and contacts

1 site in 1 country.

South Africa1 site
  • University of Cape Town Lung Institute Pty (Ltd)

    Cape Town, Mowbray, 7700

Other trials in South Africa

About this study

Official title: A Phase II Double-Blind, Randomized, Placebo-controlled, Dose Escalation Study to Evaluate the Safety of AERAS-402 in Adults Recently Treated for Pulmonary Tuberculosis

This was a double-blind, randomized, placebo-controlled dose-escalation study in adults recently treated for pulmonary TB. The dose of AERAS-402 increased in successive dose groups. Enrollment into a dose group was sequential. Enrollees were stratified based on time from the start of TB treatment. The "on-TB-treatment" stratum started TB treatment between 1 and 4 months (30 to 120 calendar days) prior to Study Day 0. The "post-TB-treatment" stratum started TB treatment at least 12 months (360 calendar days) prior to Study Day 0. Subjects were randomized to receive a placebo or AERAS-402 vaccine. In Dose Groups 1 and 2, subjects were randomized to receive a single injection of AERAS-402 or placebo. Dose Group 3 subjects were randomized to receive two injections on study day 0 and study day 42 of AERAS-402 or placebo.

Read the detailed description

A total of 72 subjects were randomized into the study. Subjects were stratified, based on time from the start of TB treatment, into the 'on-TB-treatment' stratum (TB treatment started between 1 and 4 months prior to Study Day 0) or the 'post-TB-treatment' stratum (TB treatment started at least 12 months before Study Day 0). In the on-TB-treatment stratum, 36 subjects were randomized to receive AERAS-402 or placebo as follows: 1 or 2 doses of placebo (N=5); 1 dose of AERAS-402 at 3 x 10^8 vp (N=5) or 3 x 10^9 vp (N=10), or 2 doses of AERAS-402 at 3 x 10^10 vp (N=16). In the post-TB-treatment stratum, 36 subjects were randomized to receive AERAS-402 or placebo as follows: 1 or 2 doses of placebo (N=6); 1 dose of AERAS-402 at 3 x 10^8 vp (N=5) or 3 x 109 vp (N=10), or 2 doses of AERAS-402 at 3 x 10^10 vp (N=15).

Conditions
Tuberculosis
Being tested
Placebo, AERAS-402 3 x 10^8 vp, AERAS-402 3 x 10^9 vp, AERAS-402 3 x 10^10 vp
Medical subject headings
Tuberculosis

What participants receive

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

  • PlaceboBiological

    Also called Sterile buffer

    This is the identical buffer solution in which AERAS-402 is formulated. The placebo (1.0 mL volume) was administered by intramuscular (IM) injection to the deltoid area on Study Day 0 for groups 1 and 2 and Study Day 0 and 42 for group 3.

  • AERAS-402 3 x 10^8 vpBiological

    Also called AERAS-402

    AERAS-402 was administered by single intramuscular (IM) injection to the deltoid area on Study Day 0

  • AERAS-402 3 x 10^9 vpBiological

    Also called AERAS-402

    AERAS-402 was administered by single intramuscular (IM) injection to the deltoid area on Study Day 0

  • AERAS-402 3 x 10^10 vpBiological

    Also called AERAS-402

    AERAS-402 was administered by intramuscular (IM) injection to the deltoid area on Study Days 0 and 42.

Study groups in NCT02414828
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo control: 1.0 mL sterile buffer containing 20 mM Tris buffer, 2 mM MgCl2, 25 mM NaCl, 10% w/v sucrose, 0.02% w/v PS-80 (polysorbate-80, non animal source) and water.
Receives: Biological: Placebo
AERAS-402 3 x 10^8 vpExperimentalAERAS-402: 1.0 mL containing 3 x 10^8 vp/mL suspended in 20 mM Tris buffer, 2 mM MgCl2, 25 mM NaCl, 10% w/v sucrose, 0.02% w/v PS-80 (polysorbate-80, non animal source) and water.
Receives: Biological: AERAS-402 3 x 10^8 vp
AERAS-402 3 x 10^9 vpExperimentalAERAS-402: 1.0 mL containing 3 x 10^9 vp/mL suspended in 20 mM Tris buffer, 2 mM MgCl2, 25 mM NaCl, 10% w/v sucrose, 0.02% w/v PS-80 (polysorbate-80, non animal source) and water.
Receives: Biological: AERAS-402 3 x 10^9 vp
AERAS-402 3 x 10^10 vpExperimentalAERAS-402: 1.0 mL containing 3 x 10^10 vp/mL suspended in 20 mM Tris buffer, 2 mM MgCl2, 25 mM NaCl, 10% w/v sucrose, 0.02% w/v PS-80 (polysorbate-80, non animal source) and water.
Receives: Biological: AERAS-402 3 x 10^10 vp

What is being measured

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

  1. Number of Participants With Solicited and Unsolicited AEs

    All adverse events will be summarized to examine the relationship between dose levels including number (percentage) of solicited and unsolicited adverse events (AEs), and number (percentage) of subjects with newly abnormal post-vaccination laboratory values based on predefined toxicity criteria.

    Measured: 182 days

  2. Forced Expiratory Volume in One Second (FEV1)

    Maximum number of subjects with deterioration >10% from baseline, at any time point. in forced expiratory volume in one second (FEV1)

    Measured: 182 days

  3. Forced Vital Capacity (FVC)

    Maximum number of subjects with deterioration >10% from baseline, at any time point, in forced vital capacity (FVC)

    Measured: 182 days

  4. Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)

    Maximum number of subjects with deterioration >15% from baseline, at any time point, in diffusing capacity of the lung for carbon monoxide (DLCO)

    Measured: 182 Days

Secondary outcomes (4)
  1. Immunogenicity of AERAS-402 Based on the Percentage of CD4 Cells of Participants in the "on TB Treatment" Stratum

    Assessment of immune response to AERAS-402 was based on the percentage of CD4 and CD8 T cells producing any combination of three cytokines (IFN-γ, TNF-α, and/or IL-2) following stimulation with mycobacterial peptide pools derived from and representing the entire amino acid sequences of mycobacterial antigens Ag85A, Ag85B, and TB10.4. Responses were measured by the intracellular cytokine staining (ICS) assay using flow cytometry.

    Measured: 42 days post dose

  2. Immunogenicity of AERAS-402 Based on the Percentage of CD8 Cells of Participants in the "on TB Treatment" Stratum

    Assessment of immune response to AERAS-402 was based on the percentage of CD4 and CD8 T cells producing any combination of three cytokines (IFN-γ, TNF-α, and/or IL-2) following stimulation with mycobacterial peptide pools derived from and representing the entire amino acid sequences of mycobacterial antigens Ag85A, Ag85B, and TB10.4. Responses were measured by the intracellular cytokine staining (ICS) assay using flow cytometry.

    Measured: 42 days post dose

  3. Immunogenicity of AERAS-402 Based on the Percentage of CD4 Cells of Participants in the "Post TB Treatment" Stratum

    Assessment of immune response to AERAS-402 was based on the percentage of CD4 and CD8 T cells producing any combination of three cytokines (IFN-γ, TNF-α, and/or IL-2) following stimulation with mycobacterial peptide pools derived from and representing the entire amino acid sequences of mycobacterial antigens Ag85A, Ag85B, and TB10.4. Responses were measured by the intracellular cytokine staining (ICS) assay using flow cytometry.

    Measured: 42 days post dose

  4. Immunogenicity of AERAS-402 Based on the Percentage of CD8 Cells of Participants in the "Post TB Treatment" Stratum

    Assessment of immune response to AERAS-402 was based on the percentage of CD4 and CD8 T cells producing any combination of three cytokines (IFN-γ, TNF-α, and/or IL-2) following stimulation with mycobacterial peptide pools derived from and representing the entire amino acid sequences of mycobacterial antigens Ag85A, Ag85B, and TB10.4. Responses were measured by the intracellular cytokine staining (ICS) assay using flow cytometry.

    Measured: 42 days post dose

Timeline

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

  1. First posted13 Apr 2015 (estimated)
  2. Study startOct 2008
  3. Primary completionJul 2010
  4. Study completionNov 2010

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02414828
Sponsor's protocol ID
C-010-402
Acronym
C-010-402
Status last verified
Apr 2016
First submitted
8 Apr 2015
Last updated
4 May 2016
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • van Zyl-Smit RN, Esmail A, Bateman ME, Dawson R, Goldin J, van Rikxoort E, Douoguih M, Pau MG, Sadoff JC, McClain JB, Snowden MA, Benko J, Hokey DA, Rutkowski KT, Graves A, Shepherd B, Ishmukhamedov S, Kagina BMN, Abel B, Hanekom WA, Scriba TJ, Bateman ED. Safety and Immunogenicity of Adenovirus 35 Tuberculosis Vaccine Candidate in Adults with Active or Previous Tuberculosis. A Randomized Trial. Am J Respir Crit Care Med. 2017 May 1;195(9):1171-1180. doi: 10.1164/rccm.201603-0654OC.

    PubMed 28060545

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AERAS-402 3 x 10^8 vp, AERAS-402 3 x 10^9 vp and AERAS-402 3 x 10^10 vp in people with Tuberculosis, run by Aeras at 1 site in South Africa.

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 21 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 4 May 2016. 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 South Africa. 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 4 May 2016). 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 Participants With Solicited and Unsolicited AEs (time frame: 182 days). The study lists 4 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 NCT02414828, which also lists 1 linked publication.

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 4 May 2016; AzTrials last refreshed its copy on 7 Nov 2026.

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