BCN03 is a Single-site, randomized, double-blind, placebo-controlled, phase I study to evaluate the safety, tolerability, immunogenicity, and efficacy of a vaccine regimen that includes a sequence of the T- and B-cell immunogens ChAdOx1.HTI and MVA.HTI and ConM SOSIP.v7 gp140 adjuvanted with MPLA liposomes in 30 virologically-suppressed ART-treated HIV-1 positive individuals.
Participants will be randomized to receive either the combined regimen with T- and B-cell immunogens (CSSMS) or placebo (PPPPP) in a double-blinded fashion at a ratio of 2:1. Safety and immunogenicity of the combined T- and B-cell regimen will be measured up to week 30 (2 weeks after last ConM SOSIP.v7/placebo administration). At week 30, all participants will undergo an ATI of 24 weeks of duration. At visit week 54 (End-of-ATI visit), or before according to pre-specified criteria, ART will be resumed. Efficacy endpoints will be measured at 12 and 24 weeks of ATI (study visits week 42 and 54). After ART resumption, participants will be followed during an additional safety period of 12 weeks (study visit week 66, End-of-Study visit). Treatment allocation will remain blinded until week 54 (End-of-ATI visit).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
30
Intramuscular administration of 1 x ChAdOx1.HTI (5x1010 Vp), 3 x ConM SOSIP.v7 (100μg) adjuvanted with MPLA liposomes (500μg), and 1 x MVA.HTI (2x108pfu)
Intramuscular administration of normal saline solution
Germans Trias i Pujol Hospital
Badalona, Barcelona, Spain
Local IMP-related AEs of Grade 3 and 4
Proportion of participants that develop Grade 3 or 4 local IMP-related AEs, based on the DAIDS scale
Time frame: From first administration up to week 30 (i.e., start of ATI, 2 weeks after last administration).
Systemic IMP-related AEs of Grade 3 and 4
Proportion of participants that develop Grade 3 or 4 systemic IMP-related AEs, based on the DAIDS scale
Time frame: From first administration up to week 30 (i.e., start of ATI, 2 weeks after last administration).
Descriptive of AEs
Descriptive summary of any local and systemic AEs, including laboratory abnormalities, severity, durability, and relationship to IMP in vaccine recipients.
Time frame: From first administration up to week 30 (i.e., start of ATI, 2 weeks after last administration)
De novo T-cell Immunogenicity to HTI
Proportion of participants who develop de-novo T-cell responses to HTI- during the intervention period as determined by IFN (gamma) ELISPOT.
Time frame: From week 0 to week 30
Magnitude, focus and breadth of T-cell Immunogenicity to HTI
Magnitude, focus and breadth of HTI-specific T-cell responses during the intervention period as determined by IFN (gamma) ELISPOT
Time frame: From week 0 to week 30
B-cell Immunogenicity (serum titers of NAbs)
Serum titers of autologous neutralizing antibodies (NAbs) during the intervention period
Time frame: From week 0 to week 30
B-cell Immunogenicity (proportion of NAbs)
Proportion of participants with autologous NAbs during the intervention period
Time frame: From week 0 to week 30
B-cell Immunogenicity (magnitude of trimer binding antibodies)
Magnitude of trimer binding antibodies during the intervention period
Time frame: From week 0 to week 30
B-cell Immunogenicity (proportion of trimer binding antibodies)
Proportion of participants with a trimer binding antibody response during the intervention period
Time frame: From week 0 to week 30
B-cell Immunogenicity (serum titers heterologous neutralising antibodies)
Serum titres of heterologous neutralising antibodies (i.e., against additional \[Tier 1a/b, Tier 2\] virus strains) during the intervention period
Time frame: From week 0 to week 30
B-cell Immunogenicity (proportion of heterologous neutralising antibodies)
Proportion of participants with heterologous neutralising antibodies during the intervention period
Time frame: From week 0 to week 30
Viral rebound during ATI (sustained viral remission)
Percentage of participants with sustained viral remission, defined as pVL \<50 copies/mL at 12 and 24 weeks after ATI start, respectively
Time frame: At 12 and 24 weeks after ATI start
Viral rebound during ATI (time to viral detection)
Time to viral detection, defined as the time from ATI start to the first occurrence of detectable pVL (≥50 copies/mL).
Time frame: From ATI start to the first occurrence of detectable pVL pVL (from week 30 to week 54 (ATI period)
Viral rebound during ATI (post-rebound viral control)
Percentage of participants with post-rebound viral control, defined as a pVL \<2,000 copies/mL at 12 and 24 weeks after ATI start, respectively
Time frame: At 12 and 24 weeks after ATI start
Viral rebound during ATI (percentage of off-ART)
Percentage of participants who remain off-ART at 12 and 24 weeks after ATI start, respectively.
Time frame: At 12 and 24 weeks after ATI start
Viral rebound during ATI (time off-ART)
Time off-ART, defined as time from ATI start to ART resumption.
Time frame: From ATI start to ART resumption (from week 30 to week 54 (ATI period)
Safety of an ATI period (symptoms compatible with acute retroviral syndrome)
Proportion of participants who develop symptoms compatible with acute retroviral syndrome
Time frame: From week 30 to week 54
Safety of an ATI period (stress/anxiety related to ATI)
Proportion of participants with clinically significant changes in the ATI Psychological questionnaire suggestive of stress/anxiety related to ATI.
Time frame: From week 30 to week 54
Safety of an ATI period (seeking of psychological support)
Proportion of participants who seek psychological support during and/or after ATI.
Time frame: From week 30 to week 54
Safety of post-ATI ART resumption (viral suppression)
Proportion of participants who suppress pVL to \<50 copies/mL 12 weeks after ART resumption.
Time frame: From week 54 to week 66
Safety of post-ATI ART resumption (new mutations conferring clinically-significant resistance to antiretroviral drugs)
Proportion of participants who develop new mutations not present in the pre-ART viral genotype conferring clinically-significant resistance to antiretroviral drugs. In those participants not reaching viral re-suppression 12 weeks after ART resumption, an ART viral genotype will be analyzed
Time frame: From week 54 to week 66
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