The purpose of this study is to evaluate the safety and immune response to three DNA vaccines and a MVA-CMDR vaccine that may boost the immune response to the DNA vaccines in healthy, HIV-uninfected adults.
This study will evaluate the safety, tolerability, and immunogenicity to four different HIV vaccines in healthy, HIV-uninfected adults. The vaccines include three DNA vaccines-DNA Nat-B env, DNA CON-S env, and DNA Mosaic env-and a vaccine called MVA-CMDR that may boost the immune response to the DNA vaccines. The study will enroll healthy, HIV-uninfected participants aged 18 to 50 years. Participants will be randomly assigned to one of three groups and will receive either one of the experimental vaccine regimens or a placebo vaccine regimen. Group 1 participants will receive the DNA Nat-B env and MVA-CMDR vaccines or placebo. Group 2 participants will receive the DNA CON-S env and MVA-CMDR vaccines or placebo. Group 3 participants will receive DNA Mosaic env and MVA-CMDR vaccines or placebo. All participants will receive one of their assigned vaccines at study entry (Month 0), and Months 1, 2, 4, and 8. Total study duration will be either 3 years after enrollment (for participants in the United States) or 5 years after enrollment (for participants in Switzerland). For all participants, study visits will occur at study entry (Month 0), and Months 0.5, 1, 1.5, 2, 2.5, 4, 4.5, 8, 8.25, 8.5, 11, 13.75, and 14. After the last study visit, participants will be contacted annually by phone or e-mail for a total of 3 (U.S. participants) or 5 (Switzerland participants) years to answer questions about their health. All study visits will include a physical exam, HIV risk reduction counseling, and an interview and/or questionnaire. Select study visits will include blood collection, urine and stool collection, HIV testing, an electrocardiogram (ECG), and a pregnancy test for participants who were born female. For participants receiving the MVA-CMDR vaccine, select study visits may also include an assessment of cardiac symptoms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
105
4 mg to be administered as 1 mL intramuscularly (IM) by Biojector 2000® or with a needle and syringe in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
4 mg to be administered as 1 mL IM by Biojector 2000® or with a needle and syringe in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
4 mg to be administered as 1 mL IM by Biojector 2000® or with a needle and syringe in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
Alabama CRS
Birmingham, Alabama, United States
Bridge HIV CRS
San Francisco, California, United States
The Hope Clinic of the Emory Vaccine Center CRS
Decatur, Georgia, United States
Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
Boston, Massachusetts, United States
Frequency of local and systemic injection site reactogenicity signs and symptoms for each type of vaccine
Time frame: Measured through Month 8
Severity of local and systemic injection site reactogenicity signs and symptoms for each type of vaccine
Time frame: Measured through Month 8
Frequency of adverse events (AEs)
Categorized by MedDRA body system, MedDRA preferred term, severity, and assessed relationship to study products; detailed description of all AEs meeting Division of AIDS (DAIDS) criteria for expedited reporting (EAE)
Time frame: Measured through participant follow-up (3 and 5 years for participants in the United States and Switzerland, respectively)
Laboratory measure of safety: measurement of white blood cells (WBC)
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of neutrophils
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of lymphocytes
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of hemoglobin
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of platelets
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of alanine aminotransferase (ALT)
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of aspartate aminotransferase (AST)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
1×10\^8 plaque forming units (pfu) to be administered as 1 mL IM in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
Sodium Chloride for Injection, 0.9% to be administered as 1 mL IM by Biojector 2000® or with a needle and syringe in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
Sodium Chloride for Injection, 0.9% to be administered as 1 mL IM by Biojector 2000® or with a needle and syringe in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
Sodium Chloride for Injection, 0.9% to be administered as 1 mL IM by Biojector 2000® or with a needle and syringe in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
Sodium Chloride for Injection, 0.9% to be administered as 1 mL IM in the deltoid muscle of the non-dominant arm (unless medically contraindicated)
Fenway Health (FH) CRS
Boston, Massachusetts, United States
Seattle Vaccine and Prevention CRS
Seattle, Washington, United States
Lausanne Vaccine and Immunotherapy Center CRS
Lausanne, Canton of Vaud, Switzerland
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of alkaline phosphatase
Time frame: Measured through Month 8
Laboratory measure of safety: measurement of creatinine
Time frame: Measured through Month 8
Number of participants with early discontinuation of vaccinations and reason for discontinuation
Time frame: Measured through Month 8
Response rate of CD4 T-cell responses 2 weeks after the last DNA vaccination
Measured by intracellular cytokine staining (ICS) to the Center for HIV/AIDS Vaccine Immunology (CHAVI) and PTEg peptide pools
Time frame: Measured through Month 2.5
Total magnitude of CD4 T-cell responses 2 weeks after the last DNA vaccination
Measured by ICS to CHAVI and PTEg peptide pools
Time frame: Measured through Month 2.5
Response rate of CD8 T-cell responses 2 weeks after the last DNA vaccination
Measured by ICS to CHAVI and PTEg peptide pools
Time frame: Measured through Month 2.5
Total magnitude of CD8 T-cell responses 2 weeks after the last DNA vaccination
Measured by ICS to CHAVI and PTEg peptide pools
Time frame: Measured through Month 2.5
Breadth of CD4 T-cell responses determined by epitope mapping, 2 weeks after the last DNA vaccination
Breadth determined as the number of reactive epitopes to the CHAVI and PTEg peptide pools
Time frame: Measured through Month 2.5
Breadth of CD8 T-cell responses determined by epitope mapping, 2 weeks after the last DNA vaccination
Breadth determined as the number of reactive epitopes to the CHAVI and PTEg peptide pools
Time frame: Measured through Month 2.5
Response rate of CD4 T-cell responses 2 weeks after each MVA vaccination
Measured by ICS to CHAVI and PTEg peptide pools
Time frame: Measured through Month 8.5
Total magnitude of CD4 T-cell responses 2 weeks after each MVA vaccination
Measured by ICS to CHAVI and PTEg peptide pools
Time frame: Measured through Month 8.5
Response rate of CD8 T-cell responses 2 weeks after each MVA vaccination
Measured by ICS to CHAVI and PTEg peptide pools
Time frame: Measured through Month 8.5
Total magnitude of CD8 T-cell responses 2 weeks after each MVA vaccination
Measured by ICS to CHAVI and PTEg peptide pools
Time frame: Measured through Month 8.5
Breadth of CD4 T-cell responses determined by epitope mapping, 2 weeks after MVA vaccination
Breadth determined as the number of reactive epitopes to the CHAVI peptide pools and to PTEg peptide pools
Time frame: Measured through Month 8.5
Breadth of CD8 T-cell responses determined by epitope mapping, 2 weeks after MVA vaccination
Breadth determined as the number of reactive epitopes to the CHAVI peptide pools and to PTEg peptide pools
Time frame: Measured through Month 8.5
Magnitude of HIV-specific binding immunoglobulin G (IgG) Env antibody (Ab) responses 2 weeks after the last MVA vaccination
Determined by binding Ab multiplex assay (BAMA) and, for a subset, peptide array
Time frame: Measured through Month 8.5
Breadth of HIV-specific binding IgG Env Ab responses 2 weeks after the last MVA vaccination
Determined by BAMA and, for a subset, peptide array
Time frame: Measured through Month 8.5
Magnitude of HIV-specific binding immunoglobulin A (IgA) Env Ab responses 2 weeks after the last MVA vaccination
Determined by BAMA and, for a subset, peptide array
Time frame: Measured through Month 8.5
Breadth of HIV-specific binding IgA Env Ab responses 2 weeks after the last MVA vaccination
Determined by BAMA and, for a subset, peptide array
Time frame: Measured through Month 8.5
Magnitude of serum neutralizing antibodies (nAbs) to a panel of standardized HIV-1 isolates
Time frame: Measured through Month 14
Breadth of serum nAbs to a panel of standardized HIV-1 isolates
Time frame: Measured through Month 14