The purpose of the study is to evaluate the safety, tolerability, and immunogenicity of polyvalent env (A,B,C,A/E)/gag (C) DNA and gp120 (A,B,C,A/E) protein vaccines (PDPHV201401) co-administered together with or without adjuvant in repeated doses in healthy, HIV-uninfected adults
The purpose of the study is to evaluate the safety, tolerability, and immunogenicity of polyvalent env (A,B,C,A/E)/gag (C) DNA and gp120 (A,B,C,A/E) protein vaccines (PDPHV201401) co-administered together with or without adjuvant in repeated doses in healthy, HIV-uninfected adults. Participants will be enrolled in either Group 1 or 2 with Group 1 being enrolled first to compensate for the longer duration of vaccination period. Within each group, participants will be randomly assigned to either Treatment or Control. Participants in Group 1 (Treatment) will receive polyvalent env (A,B,C,A/E)/gag (C) DNA vaccine in one arm and polyvalent gp120 (A,B,C,A/E) protein vaccine mixed with GLA-SE adjuvant in the other arm on Day 0 and at Months 3, 6, and 12. Participants in Group 1 (Control) will receive placebo on Day 0 and at Months 3, 6, and 12. Participants in Group 2 (Treatment) will receive a mixture of polyvalent env (A,B,C,A/E)/gag (C) DNA vaccine and polyvalent gp120 (A,B,C,A/E) protein vaccine (without GLA-SE adjuvant) divided into two doses and administered into each arm on Day 0 and at Months 1, 3, 6, and 8. Participants in Group 2 (Control) will receive placebo on Day 0 and at Months 1, 3, 6, and 8. Study visits for participants in Group 1 will occur on Day 0, Week 2, Months 3, 3.5, 6, 6.5, 12, 12 + 1 Week, 12.5, 18, and 24. Study visits for participants in Group 2 will occur on Day 0, Week 2, Months 1, 1.5, 3, 3.5, 6, 6.5, 8, 8 + 1 Week, 8.5, 14, and 20. Visits may include physical examination, blood and urine collection, HIV testing, risk reduction counseling, and questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
42
Administered by intramuscular injection in the deltoid
Administered by intramuscular injection in the deltoid
Administered by intramuscular injection in the deltoid.
Brigham and Women's Hospital
Boston, Massachusetts, United States
Frequency of local injection site (including DTH) reactogenicity signs and symptoms
Graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, July 2017
Time frame: Measured through participants' last study visit, at Month 20 to 24, depending on which part of the study participants are enrolled in
Frequency of systemic reactogenicity signs and symptoms
Graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, July 2017
Time frame: Measured through participants' last study visit, at Month 20 to 24, depending on which part of the study participants are enrolled in
Frequency of adverse events (AEs)
AEs categorized by Medical Dictionary for Regulatory Activities (MedDRA) system organ class, MedDRA preferred term, severity, and assessed relationship to study products
Time frame: Measured through participants' last study visit, at Month 20 to 24, depending on which part of the study participants are enrolled in
Severity of local injection site (including DTH) reactogenicity signs and symptoms
Graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, July 2017
Time frame: Measured through participants' last study visit, at Month 20 to 24, depending on which part of the study participants are enrolled in
Severity of systemic reactogenicity signs and symptoms
Graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, July 2017
Time frame: Measured through participants' last study visit, at Month 20 to 24, depending on which part of the study participants are enrolled in
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Sodium Chloride for Injection, USP 0.9%; Administered by intramuscular injection in the deltoid.
Severity of adverse events (AEs)
AEs categorized by MedDRA system organ class, MedDRA preferred term, severity, and assessed relationship to study products
Time frame: Measured through participants' last study visit, at Month 20 to 24, depending on which part of the study participants are enrolled in
Number of participants with early discontinuation of vaccinations
Tabulated by reason and treatment arm
Time frame: Measured through participants' last study visit, at Month 20 to 24, depending on which part of the study participants are enrolled in
Magnitude of serum HIV-1 Env-specific IgG responses
Assessed by ELISA or Binding Antibody Multiplex Assay
Time frame: Measured at 2 weeks after the last vaccination
Serum neutralizing antibody responses against Tier 1A, Tier 1B, and selected Tier 2 viruses
Assessed by TZM-bl assay
Time frame: Measured at 2 weeks after the last vaccination
Breadth of gp70-V1V2 IgG and gp120 IgA
Assessed by ELISA or Binding Antibody Multiplex Assay, and ADCC activities against HIV-1 subtypes A, B, C and A/E
Time frame: Measured at 2 weeks after the last vaccination
Frequency of HIV-1 specific CD4+ and CD8+ T-cell responses
Assessed by intracellular cytokine staining (ICS)
Time frame: Measured at 2 weeks after the last vaccination