This is a phase 1b/2a, double-blind, randomized, placebo-controlled clinical trial to evaluate the safety, tolerability, and immunogenicity of the LEP-F1 + GLA-SE investigational vaccine compared to placebo.
The proposed clinical trial will establish an initial safety profile for the vaccine in a region endemic for leprosy. The trial will enroll both healthy participants and paucibacillary leprosy patients receiving standard-of-care therapy. Safety at the lower vaccine dose will be demonstrated in healthy participants prior to antigen dose-escalation. Further, safety in all healthy participants will be demonstrated prior to enrolling leprosy patients. Participants will be randomized within each Group to receive three doses of vaccine or placebo administered IM on Days 0, 28, and 56. Participants will be monitored for one year following the last study injection.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
142
Leprosy antigen formulated with an adjuvant.
Sterile normal saline for injection.
Veronica Schmitz Pereira
Rio de Janeiro, Brazil
Phase 1b_The number of participants who receive the injection and experience local and systemic reactions within 7 days of each study injection.
The number of participants who receive the injection and experience local and systemic reactions within 7 days of each study injection.
Time frame: 7 days following each injection
Phase 1b_Number of participants experiencing unsolicited AEs
The number of participants spontaneously reporting adverse events from Day 0 to Day 84.
Time frame: Days 0 to 84
Phase 1b_The number of adverse events attended by physicians considered related to any of the study injections reported at any time during the study period.
The number of adverse events attended by physicians considered related to any of the study injections reported at any time during the study period.
Time frame: Days 0 to 421
Phase 1b_The LEP-F1 specific T cell IFN--γ production responses in assay with PBMCs evaluated by ELISA on Days 0, 35 and 63.
The LEP-F1 specific T cell IFN-γ production responses in assay with PBMCs evaluated by ELISA on Days 0, 35 and 63.
Time frame: Days 0, 35 and 63.
Phase 2a_The number of participants who receive the injection and experience local and systemic reactions within 7 days of each study injection.
The number of participants who receive the injection and experience local and systemic reactions within 7 days of each study injection.
Time frame: 7 days following each injection
Phase 2a_The number of participants spontaneously reporting adverse events from Day 0 to Day 84.
The number of participants spontaneously reporting adverse events from Day 0 to Day 84.
Time frame: Day 0 to Day 84.
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Phase 2a_The number of physician-assisted adverse events considered related to any of the study injections reported at any time during the study period
The number of physician-assisted adverse events considered related to any of the study injections reported at any time during the study period
Time frame: Day 0 to Day 421
Phase 2a_The frequency and intensity of solicited adverse events within 7 days of each study injection.
The frequency and intensity of solicited adverse events within 7 days of each study injection.
Time frame: 7 days following each injection
Phase 2a_The frequency and intensity of unsolicited adverse events during study participation (D0 to D421).
The frequency and intensity of unsolicited adverse events during study participation (D0 to D421).
Time frame: Day 0 to Day 421
Phase 2a_The frequency and causality of serious adverse events occurring during study participation (D0 to D421).
The frequency and causality of serious adverse events occurring during study participation (D0 to D421).
Time frame: Day 0 to Day 421
Phase 1b_IgG antibody responses to LEP-F1 by ELISA on Days 0, 35, 63, and 168.
IgG antibody responses to LEP-F1 by ELISA on Days 0, 35, 63, and 168
Time frame: Days 0, 35, and 63
Phase 1b_ The T cell responses measured by LEP-F1-specific cytokine production in PBMC assay by ELISA or multiplex assay on Days 0, 35, 63, and 168.whole blood assay
The T cell responses measured by LEP-F1-specific cytokine production in PBMC assay by ELISA or multiplex assay on Days 0, 35, 63, and 168.
Time frame: Days 0, 35, 63 and 168
Phase 2a_IgG antibody responses to LEP-F1 by ELISA on Days 0, 35, 63, and 168.
IgG antibody responses to LEP-F1 by ELISA on Days 0, 35, 63, and 168.
Time frame: Days 0, 35, 63, and 168.
Phase 2a_T cell responses measured by LEP-F1-specific cytokine production in PBMC assay by ELISA or multiplex assay on Days 0, 35, 63, and 168.
T cell responses measured by LEP-F1-specific cytokine production in PBMC assay by ELISA or multiplex assay on Days 0, 35, 63, and 168.
Time frame: on Days 0, 35, 63, and 168.
Phase 2a_The neurological nerve function as measured by clinical and neurophysiological tests
The neurological nerve function as measured by clinical and neurophysiological tests
Time frame: Day 0 to Day 421
Phase 2a_The number of participants who received LepVax and had episodes of RR after the start of the study.
The number of participants who received LepVax and had episodes of RR after the start of the study.
Time frame: Day 0 to Day 421
Phase 2a_The number of M. leprae genome copies (bacillus quantification).
The number of M. leprae genome copies (bacillus quantification).
Time frame: Day 0 to Day 421