The purpose of this study is to evaluate the immune response to the Vaccine Research Center (VRC) rAd5 HIV vaccine when the vaccine components are administered in three different ways, in healthy, HIV-uninfected adults.
The VRC rAd5 HIV vaccine contains four different components. In this study, researchers will examine how the immune system responds to the vaccine when the four components are administered in three different ways: 1. The vaccine dose containing all four components is given as a single injection in one arm, and placebo injections are given in the other arm and both legs. 2. The vaccine dose containing all four components is divided into fourths, and one-fourth of the full dose is given in each arm and leg. 3. The four vaccine components are separated, and a different component is given in each arm and leg. This study will enroll healthy, HIV-uninfected adults. Participants will be randomly assigned to one of three groups. Group 1 will receive the entire dose of vaccine in their right arm and placebo vaccine in the other arm and both legs. Group 2 will receive all four different components of the vaccine, given separately as a different component per each arm and leg. Group 3 will receive the entire vaccine dose divided into fourths, with one fourth of the full dose given in each arm and leg. At a baseline study visit, participants will undergo a physical examination and a medical and medication history review. Female participants will also take a pregnancy test. Participants will complete questionnaires and receive counseling on HIV risk reduction and pregnancy prevention. All participants will then receive vaccine given as four injections-one each in their right arm, left arm, right thigh, and left thigh (except for Group 1, placebo injections are given in left arm and both legs). After receiving the vaccine, participants will remain in the clinic for at least 30 minutes for observation and monitoring of side effects. For 7 days after the vaccination, participants will record any side effects in a symptom log; for the first 3 days after the vaccination, study staff will call participants to ensure they are completing the symptom log. Follow-up visits will occur at Months 1, 4, and 7. These visits will include the baseline study procedures and a blood collection. Participants will be contacted by study researchers once a year for 5 years for follow-up health monitoring. Blood collected during study visits will be saved for future testing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
90
Given intramuscularly
Given intramuscularly
Given intramuscularly
Bridge HIV CRS
San Francisco, California, United States
UIC Project WISH CRS
Chicago, Illinois, United States
Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
Boston, Massachusetts, United States
Columbia P&S CRS
New York, New York, United States
Number of recognized epitopes as measured by enzyme-linked immunospot (ELISpot)
Time frame: Measured at 4 weeks following vaccination
Total magnitude of gene-specific CD4 and CD8 T-cell responses as measured by intracellular cytokine staining (ICS)
Time frame: Measured at 4 weeks following vaccination
Total vaccine-specific CD4 and CD8 T-cell responses as measured by ICS
Time frame: Measured at 4 weeks following vaccination
Total vaccine-specific CD4 and CD8 T-cell responses as measured by ICS
Time frame: Measured at 28 weeks following vaccination
Polyfunctional CD4 and CD8 T-cell responses across one and multiple antigenic components of VRC rAd5 HIV vaccine as measured by ICS
Time frame: Measured at 28 weeks following vaccination
Antibody binding to HIV epitopes by multiplex binding antibody assay and/or peptide array
Time frame: Measured at 28 weeks following vaccination
Local and systemic reactogenicity signs and symptoms, laboratory measures of safety, adverse events (AEs), and serious adverse events (SAEs) reported on an expedited basis to the Division of AIDS (DAIDS)
Time frame: Measured at 28 weeks following vaccination
T-cell receptor beta chain sequence diversity of epitope-specific CD4 and CD8 T cells
Time frame: Measured at 28 weeks following vaccination
Human leukocyte antigen (HLA) type, epitope-specific T-cell responses as measured by ELISpot, ICS, tetramer, and/or other assays
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Given intramuscularly
Given intramuscularly
Given intramuscularly
New York Blood Center CRS
New York, New York, United States
University of Rochester Vaccines to Prevent HIV Infection CRS
Rochester, New York, United States
Penn Prevention CRS
Philadelphia, Pennsylvania, United States
Vanderbilt Vaccine (VV) CRS
Nashville, Tennessee, United States
Time frame: Measured at 28 weeks following vaccination