The primary objective of the proposed phase I trial is to evaluate the safety and tolerability of DNA-HIV-PT123 and AIDSVAX®B/E combination regimen. Though both DNA-HIV-PT123 and AIDSVAX®B/E and the combination of the two vaccines have been evaluated in humans and have shown to be safe and well tolerated, this is the first time the combination regimen is being evaluated in HIV-1 uninfected African populations with and without S. mansoni. The secondary objective of the trial is to evaluate the effect of S. mansoni infection on the immunogenicity of the combination of DNA-HIV-PT123 and AIDSVAX® B/E vaccine regimen. Successful vaccination against most viruses requires efficient Th1 response. There is evidence that helminth infections skew the host immune system of human and animals to T-helper type 2 (Th2) and induce immunosuppression. Therefore, there is a potential that helminth infected populations may not generate the desired immune responses to vaccines designed to drive Th1-type and cytotoxic T-cell responses. Furthermore, the influence of helminth infections on the development of protective antibody responses remains unclear. Limited data in animal models suggests that worm infections reduced efficacy of vaccines. The proposed vaccine trial will generate safety, tolerability and immunogenicity data of a vaccination regimen with simultaneous administration of a candidate HIV DNA vaccine (DNA-HIV-PT123) and a gp120 protein vaccine (AIDSVAX®B/E). This will be the first HIV vaccine trial to prospectively evaluate the impact of the S. mansoni infection on safety and immune responses to HIV vaccines.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
72
DNA co-administered with protein at month 0, 1 and 6
Protein co-administered with DNA at month 0,1 and 6
Uganda Virus Research Institute - International AIDS Vaccine Initiative HIV Vaccine Program (UVRI-IAVI)
Entebbe, Uganda
Medical Research Council (MRC) /Uganda Virus Research Institute (UVRI)
Masaka, Uganda
Proportion of volunteers with local and systemic reactogenicity events during a 7 day follow up period after each vaccination
Time frame: 7 days post each vaccination
Proportion of volunteers with adverse events during a 4 week follow up period after each vaccination
Time frame: 4 weeks post each vaccination
Proportion of volunteers with abnormal laboratory parameters during a 4 week follow up period after each vaccination
Time frame: 4 weeks post each vaccination
Proportion of volunteers with serious adverse events throughout the study period
Time frame: Each participant will be followed for 9 months
Proportion of volunteers with HIV-specific CD4+ and CD8+ T cell responses as assessed by IFN-g ELISpot and multiparameter flow cytometry (IFN-g TNF-a and IL-2) 2 weeks after the 2nd and 3rd vaccination
Time frame: two weeks post 2nd and 3 vaccination
Magnitude of HIV-specific CD4+ and CD8+ T cell responses as assessed by IFN-g ELISpot and multiparameter flow cytometry (IFN-g TNF-a and IL-2) 2 weeks after the 2nd and 3rd vaccination
Time frame: two weeks post 2nd and 3 vaccination
HIV-specific Env binding Antibody response 2 weeks after the 2nd and 3rd vaccination
Time frame: two weeks post 2nd and 3 vaccination
Magnitude and breadth of neutralizing antibody responses against tier 1 and tier 2 HIV-1 isolates 2 weeks after the 2nd and 3rd vaccination
Time frame: two weeks post 2nd and 3 vaccination
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