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Cytomegalovirus (CMV) InfectionPhase 2NCT03629080

A Study of CMV Vaccine (HB-101) in Kidney Transplant Patients

A Phase 2 study testing HB-101 vaccine in people with Cytomegalovirus (CMV) Infection and Kidney Transplantation, run by Hookipa Biotech GmbH at 25 sites in 6 countries.

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

HB-101 is a bivalent recombinant vaccine against human CMV infection. This is a randomized, placebo-controlled, phase 2 study to assess the safety, reactogenicity, immunogenicity, and efficacy of HB-101 in CMV-Seronegative patients receiving a kidney transplant from a CMV-Seropositive living donor and CMV-Seropositive… Read more about this study

Who is it for?
Ages 18 to 99 years
What is being tested?
HB-101 vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
83 participants
Where
25 sitesin 6 countries
Study dates
12 Dec 2018to 22 Jun 2022
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 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients who meet all of the following key inclusion criteria will be eligible to participate in the study:
  • Male or female patients 18 years of age or older.
  • Patients must be eligible to undergo kidney transplantation from a living donor as per institutional standards.
  • For Groups 1 and 2 only: Patients must be CMV immunoglobulin G (IgG) seronegative (-) and receiving kidney for transplantation from donors who are CMV IgG seropositive (+).
  • For Group 3 only: Patients must be CMV immunoglobulin G (IgG) seropositive (+) and receiving kidney for transplantation from donors who are either CMV IgG seronegative (-) or seropositive (+).
  • Patients who would comply with the requirements of this protocol (e.g., return for follow up visits), as judged by the investigator.

Who cannot join

  • Patients who meet any of the following key criteria will be excluded from the study:
  • Patients planning to undergo multi-organ transplantation.
  • Patients participating in another interventional clinical study.
  • Previous vaccination with an investigational CMV vaccine.
  • Any confirmed or suspected immunodeficiency disorder (based on medical history and physical examination) that could interfere with the immune response or that presents a risk for the patient to receive a vaccine candidate in development.
  • Treatment with any chronic immunosuppressive medication or other immuno modifying drugs within 6 months prior to study entry. However, inhaled and topical steroids and low-dose oral corticosteroids (<10 milligrams a day of prednisone or equivalent) are allowed.
Show all 10Show fewer
  • Prior history of CMV disease or CMV infection requiring anti-viral therapy
  • Patients with a rash, dermatological condition, or tattoo in the area of the injection site(s) that could interfere with administration site reaction rating. (Note: The injection site(s) can be the non-dominant arm [most preferred injection site], dominant arm, or either thigh [least preferred injection site], as judged by the investigator).
  • It is anticipated that the patient will be unavailable to complete the study follow-up.
  • Patients who are highly sensitized or who are likely to undergo desensitization at time of transplant (e.g., donor-specific antibody titers at the local laboratory >2000).

Trial locations and contacts

25 sites in 6 countries.

25 sites in 6 countries

United States13 sites
  • University of Colorado Hospital

    Aurora, Colorado, 80045

  • The 1917 Clinic at UAB

    Birmingham, Alabama, 35205

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • The Christ Hospital

    Cincinnati, Ohio, 45219

  • University of Cincinnati (UC) - College of Medicine

    Cincinnati, Ohio, 45267

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • South Texas Accelerated Research

    Dallas, Texas, 75390

  • Indiana University/IU Health

    Indianapolis, Indiana, 46202

  • California Institute of Renal Research

    La Mesa, California, 92123

  • Oklahoma University

    Oklahoma City, Oklahoma, 73104

  • Thomas E. Starzl Transplantation Institute

    Pittsburgh, Pennsylvania, 15213

  • UC Davis Health Systems

    Sacramento, California, 95817

  • Swedish Medical Center

    Seattle, Washington, 98104

Other trials in United States

United Kingdom5 sites
  • Belfast Health and Social Care Trust

    Belfast, BT9 7AB

  • Cardiff & Vale University Health Board

    Cardiff, CF14 4XW

  • St James's University Hospital

    Leeds, LS9 7TF

  • Leicester General Hospital

    Leicester, LE5 4PW

  • The Royal Free Hospital

    London, NW3 2QG

Other trials in United Kingdom

France3 sites
  • Centre Hospitalier Universitaire de Bordeaux Hôpital Pellegrin

    Bordeaux, 33076

  • Hopital Necker-Enfants Malades

    Paris, 75743

  • CHU de Toulouse - Hospital Rangueil

    Toulouse, 31400

Other trials in France

Germany2 sites
  • Charite Universitatsmedizin Berlin

    Berlin, 10117

  • Universitatsklinikum Essen

    Essen, 45147

Other trials in Germany

Denmark1 site
  • Odense University Hospital

    Odense, 5000

Other trials in Denmark

Norway1 site
  • Oslo University Hospital

    Oslo, 0424

Other trials in Norway

About this study

Official title: A Randomized, Placebo-Controlled, Phase 2 Study of HB-101, a Bivalent Cytomegalovirus (CMV) Vaccine, in CMV-Seronegative Recipient (R-) Patients Awaiting Kidney Transplantation From Living CMV-Seropositive Donors (D+).

HB-101 is a bivalent recombinant vaccine against human CMV infection. This is a randomized, placebo-controlled, phase 2 study to assess the safety, reactogenicity, immunogenicity, and efficacy of HB-101 in CMV-Seronegative patients receiving a kidney transplant from a CMV-Seropositive living donor and CMV-Seropositive patients.Patients enrolled should have a living donor kidney transplantation ideally planned between two to four months after the first injection of study drug (HB-101 or placebo).

Read the detailed description

This is a randomized, placebo-controlled, phase 2 study to assess the safety, reactogenicity, immunogenicity, and efficacy of HB-101 in adult patients awaiting kidney transplantation. For Groups 1 and 2, adult CMV-seronegative (-) patients awaiting kidney transplant from a CMV-seropositive (+) living donor will be enrolled according to treatment intent with regard to the method of CMV prevention after transplant (either preemptive or prophylactic). This will be defined at study enrollment by the investigator and institutional standards. Patients enrolled in Group 1 and 2 will be randomized to receive HB-101 or placebo. For Group 3, adult CMV-seropositive (+) patients awaiting kidney transplant from either CMV-seropositive(+) or CMV-seronegative(-) living donors will be enrolled. Group 3 will be open label where all patients will receive HB-101. The post transplant management for Group 3 patients will also follow either preemptive or prophylactic method per the institution standards. The intent of the study is to administer three doses of the study drug (HB-101 or placebo) prior to transplantation and within proximity to the time of transplantation. However, two doses of study drug will be sufficient for the patients to be included in the efficacy analyses if a third dose of study drug is not feasible due to transplantation timelines. Patients will not receive study drug after transplantation. Patients will be recruited globally from transplant centers. The total duration of the study of each patient participating in the study will be approximately 15 months.

Being tested
HB-101 vaccine, placebo
Keywords
solid organ transplantation, vaccine
Medical subject headings
Cytomegalovirus Infections

What participants receive

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

  • HB-101 vaccineBiological

    HB-101 is a bivalent vaccine that contains two replication deficient recombinant lymphocytic choriomeningitis virus (rLCMV) vectors expressing pp65 and a truncated isoform of gB of human CMV.

  • placeboBiological

    Saline will be used for placebo.

Study groups in NCT03629080
Study groupRoleWhat they receive
HB-101 vaccine preemptiveExperimentalThree doses of HB-101 vaccine will be administered prior to transplantation and within proximity to the time of transplantation. However, two doses of HB-101 will be sufficient for the patients to be included in the efficacy analyses if an administration of the third dose is not feasible due to transplantation timelines. Post-transplant patients will be monitored per preemptive institutional standard.
Receives: Biological: HB-101 vaccine
Placebo preemptivePlacebo comparatorThree doses of placebo will be administered prior to transplantation and within proximity to the time of transplantation. However, two doses of placebo will be sufficient for the patients to be included in the efficacy analyses if an administration of the third dose is not feasible due to transplantation timelines. Post-transplant patients will be monitored per preemptive institutional standard.
Receives: Biological: placebo
HB-101 vaccine prophylacticExperimentalThree doses of HB-101 will be administered prior to transplantation and within proximity to the time of transplantation. However, two doses of HB-101 will be sufficient for the patients to be included in the efficacy analyses if an administration of the third dose is not feasible due to transplantation timelines. Post- transplant patients will receive 3-6 months anti-viral prophylaxis following institutional standard.
Receives: Biological: HB-101 vaccine
Placebo prophylacticPlacebo comparatorThree doses of placebo will be administered prior to transplantation and within proximity to the time of transplantation. However, two doses of placebo will be sufficient for the patients to be included in the efficacy analyses if an administration of the third dose is not feasible due to transplantation timelines. Post- transplant patients will receive 3-6 months anti-viral prophylaxis following institutional standard.
Receives: Biological: placebo
HB-101 vaccine: CMV (+) patients-Prophylactic ManagementExperimentalThree doses of HB-101 will be administered prior to transplantation and within proximity to the time of transplantation. However, two doses of HB-101 will be sufficient for the patients to be included in the efficacy analyses if an administration of the third dose is not feasible due to transplantation timelines. Post- transplant patients will receive 3-6 months anti-viral prophylaxis following institutional standard.
Receives: Biological: HB-101 vaccine
HB-101 vaccine: CMV (+) patients-Preemptive ManagementExperimentalThree doses of HB-101 will be administered prior to transplantation and within proximity to the time of transplantation. However, two doses of HB-101 will be sufficient for the patients to be included in the efficacy analyses if an administration of the third dose is not feasible due to transplantation timelines. Post- transplant patients will follow pre-emptive management per institutional standard.
Receives: Biological: HB-101 vaccine

What is being measured

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

  1. Number of Participants With Adverse Events and Serious Adverse Events

    Assess the number and severity of participants with adverse events and serious adverse events

    Measured: 15 Months

  2. Assessment of Humoral Immunogenicity Analyses

    Assessment of CMV neutralizing antibody titers (NTAs) at day of Transplant defined by log10 virus neutralising unit(s)

    Measured: 15 Months

  3. Number of Patients With Injection Site Events.

    Number of patients experiencing a local or generalized injection site reaction

    Measured: 15 Months

  4. Change of Oral Body Temperature.

    Oral body temperature was measured in degrees Celsius prior to study drug administrations and seven days after. The results express the change from baseline (defined as the last measurement prior to the first dose of study drug) to Dose 3.

    Measured: Change from Baseline to 7 days after study drug administration of Dose 3. Three (3) months

  5. Change of Respiration Rate.

    Respiration rate in breaths per minute was measured prior to study drug administration and seven days after. The results express the change from baseline (defined as the last measurement prior to the first dose of study drug) to Dose 3.

    Measured: Change from Baseline to 7 days after study drug administration of Dose 3. Three (3) months.

  6. Change of Blood Pressure.

    Diastolic and Systolic Blood Pressure was measured in millimeters of mercury (mmHg) prior to study drug administration and seven days after. The results express the change from baseline (defined as the last measurement prior to the first dose of study drug) to Dose 3.

    Measured: Change from Baseline to 7 days after study drug administration of Dose 3. Three (3) months

  7. Assessment of Cellular Immunogenicity Analyses

    Assessment of positive CMV IFNγ ELISPOT results for pp65 and gB defined by Spot forming cells / mio PBMC per CMV Management Strategy and Doses Before Transplant

    Measured: 15 months

Secondary outcomes (7)
  1. Time to Clinically Significant CMV Infection.

    Measure the time to clinically significant CMV infection, CMV disease, and CMV syndrome. Time to infection was defined as the number of days of the first quantifiable result above the LLOQ monitored for 12 months after transplantation.

    Measured: 12 months

  2. Number of Participants With CMV Viremia Requiring Anti Viral Therapy

    Measure the number of patients with CMV viremia requiring anti viral therapy for CMV seronegative (-) recipients awaiting kidney transplantation from a CMV seropositive (+) donor and to be treated prophylactically for CMV post transplant.

    Measured: 12 months

  3. The Time to CMV Viremia Requiring Anti Viral Therapy.

    Measure the time to CMV viremia requiring anti viral therapy for CMV seronegative (-) recipients awaiting kidney transplantation from a CMV seropositive (+) donor and to be treated prophylactically for CMV post transplant.

    Measured: 12 months

  4. Number of Participants Requiring Anti-CMV Therapy

    Measure the number of participants requiring anti-CMV therapy (at therapeutic doses) in CMV seropositive (+) recipients awaiting kidney transplant.

    Measured: 12 months

  5. The Duration of Anti-CMV Therapy Courses Required.

    Measure duration (in days) of anti-CMV therapy courses (at therapeutic doses) required in CMV seropositive (+) recipients awaiting kidney transplant.

    Measured: 12 months

  6. Number of Participants With Organ Rejection

    Assessment of number of participants with graft failure leading to biopsy-confirmation rejection of organ post transplantation.

    Measured: Up to 12 months post transplantation

  7. Time to Organ Rejection

    Measurement of time (in days) between transplantation and graft failure leading to biopsy-confirmation rejection of organ

    Measured: Up to 12 months post transplantation

Timeline

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

  1. First posted14 Aug 2018
  2. Study start12 Dec 2018
  3. Primary completion22 Jun 2022
  4. Study completion22 Jun 2022

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
Model description
This phase 2 study will be conducted in three groups stratified by treatment intent. In Group 1, patients will be randomized to receive HB-101 (1a) or placebo (1b) and followed preemptively post-transplant. Approximately 50 patients will be randomized in Group 1. In Group 2, patients will be randomized to receive HB-101 (2a) or placebo (2b) before transplant. Post-transplant patients will receive 3-6 months of anti-viral prophylaxis following institutional standards. Approximately 100 patients will be randomized in Group 2. In Group 3, all patients will receive HB-101 (open label) vaccination(s) prior to their transplant surgery. Post-transplant CMV management will follow either preemptive or prophylactic care as defined at study enrollment by the investigator and institutional standards. Approximately 25 patients will be randomized in Group 3.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
83 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03629080
Sponsor's protocol ID
H-100-002
Other IDs
2017-005047-32, 2017
Status last verified
Oct 2023
First submitted
29 May 2018
Last updated
26 Oct 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing HB-101 vaccine in people with Cytomegalovirus (CMV) Infection and Kidney Transplantation, run by Hookipa Biotech GmbH at 25 sites in 6 countries.

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 6 inclusion and 10 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 26 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, United Kingdom, France, Germany, Denmark and 1 more country. 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 26 Oct 2023). 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 Adverse Events and Serious Adverse Events (time frame: 15 Months). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Oct 2023.

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