The purpose of this first-time-in-human (FTiH) study is to evaluate the reactogenicity, safety, immune response, and efficacy of an investigational herpes simplex virus (HSV)-targeted immunotherapy (TI). The study will be conducted in 2 parts: Part I assessing different formulations of the Herpes Simplex Virus-targeted immunotherapy (HSVTI) in healthy participants aged 18-40 years; Part II assessing the 2 formulations of the HSVTI in participants aged 18-60 years with recurrent genital herpes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
505
Two doses of the non-adjuvanted HSV formulation 1 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the non-adjuvanted HSV formulation 2 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the non-adjuvanted HSV formulation 3 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the HSV formulation 1 with adjuvant 1 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the HSV formulation 2 with adjuvant 1 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the HSV formulation 3 with adjuvant 1 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the HSV formulation 1 with adjuvant 2 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the HSV formulation 2 with adjuvant 2 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of the HSV formulation 3 with adjuvant 2 vaccine administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I of the study.
Two doses of Placebo administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part I and Part II of the study.
Two doses of the formulation of the HSVTI\_F1 selected from Part I of the study administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part II of the study.
Two doses of the formulation of the HSVTI\_F2 selected from Part I of the study administered intramuscularly in the deltoid region of the non-dominant arm, one each at Day 1 and Day 29, during Part II of the study.
GSK Investigational Site
Phoenix, Arizona, United States
GSK Investigational Site
Wichita, Kansas, United States
GSK Investigational Site
Kansas City, Missouri, United States
GSK Investigational Site
Rochester, New York, United States
GSK Investigational Site
Richmond, Virginia, United States
GSK Investigational Site
Seattle, Washington, United States
GSK Investigational Site
Darlinghurst, New South Wales, Australia
GSK Investigational Site
Sydney, New South Wales, Australia
GSK Investigational Site
Antwerp, Belgium
GSK Investigational Site
Brussels, Belgium
...and 20 more locations
Percentage of participants reporting each solicited administration site event
The solicited administration site events are pain, redness and swelling.
Time frame: Within 7 days after the first study intervention dose (administered at Day 1)
Percentage of participants reporting each solicited administration site event
The solicited administration site events are pain, redness and swelling.
Time frame: Within 7 days after the second study intervention dose (administered at Day 29)
Percentage of participants reporting each solicited systemic event
The solicited systemic events are fever, fatigue, headache, myalgia and arthralgia. The preferred location for measuring temperature is the oral cavity. Fever is defined as temperature equal to or above (≥) 38.0 degree Celsius (°C)/ 100.4 degree Fahrenheit (°F), regardless the location of measurement.
Time frame: Within 7 days after the first study intervention dose (administered at Day 1)
Percentage of participants reporting each solicited systemic event
The solicited systemic events are fever, fatigue, headache, myalgia and arthralgia. The preferred location for measuring temperature is the oral cavity. Fever is defined as temperature equal to or above (≥) 38.0 degree Celsius (°C)/ 100.4 degree Fahrenheit (°F), regardless the location of measurement.
Time frame: Within 7 days after the second study intervention dose (administered at Day 29)
Percentage of participants reporting unsolicited adverse events (AEs)
An unsolicited AE is any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms (7 days after each dose) is reported as an unsolicited AE.
Time frame: Within 28 days after the first study intervention dose (administered at Day 1)
Percentage of participants reporting unsolicited adverse events (AEs)
An unsolicited AE is any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms (7 days after each dose) is reported as an unsolicited AE.
Time frame: Within 28 days after the second study intervention dose (administered at Day 29)
Percentage of participants reporting medically attended events (MAEs)
An MAE is an unsolicited AE for which the participants received medical attention defined as any symptoms or illnesses requiring hospitalization, or an emergency room visit, or visit to/by healthcare professionals.
Time frame: From Dose 1 (Day 1) up 12 months after last study intervention administration (Day 394)
Percentage of participants reporting any serious adverse events (SAEs)
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant or results in abnormal pregnancy outcomes.
Time frame: From Dose 1 (Day 1) up to 12 months after last study intervention administration (Day 394)
Percentage of participants reporting any potential immune-mediated disease (pIMDs) (classified as newly diagnosed or exacerbation of pre-existing events)
PIMDs are a subset of adverse events of special interest (AESIs) that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.
Time frame: From Dose 1 (Day 1) up to 12 months after last study intervention administration (Day 394)
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at pre-study intervention administration (Day 1) in Part I of the study
Clinically significant haematological and biochemical abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Time frame: At pre-study intervention administration (Day 1)
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 8 in Part I of the study
Time frame: At Day 8
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 29 in Part I of the study
Time frame: At Day 29
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 36 in Part I of the study
Time frame: At Day 36
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 64 in Part I of the study
Time frame: At Day 64
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at pre-study intervention administration (Day 1) in Part II of the study
Time frame: At pre-study intervention administration (Day 1)
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 8 in Part II of the study
Time frame: At Day 8
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 29 in part II of the study
Time frame: At Day 29
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 36 in Part II of the study
Time frame: At Day 36
Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 57 in Part II of the study
Time frame: At Day 57
Time-to-first confirmed HSV-2 RGH episode in Part II of the study
A suspected RGH episode will be classified as confirmed HSV-2 RGH episode if at least one of the lesional or anogenital swabs taken during the concerned episode is positive for HSV-2 as measured by PCR. The end of RGH reporting can occur at Day 209 for participants who have not yet completed Visit 8 \[Day 209\] at the time the Informed Consent Form (ICF) addendum was signed and consented, or at non-scheduled time, being defined by the date on which participants decided to stop the RGH reporting after acknowledgement of unsuccessful primary analysis before ICF addendum consent or the day the eDiary is deactivated after ICF addendum consent.
Time frame: 14 days post-Dose 2 (Day 43) to end of RGH event reporting period
Number of confirmed HSV-2 RGH episodes in Part II of the study
A suspected RGH episode will be classified as confirmed HSV-2 RGH episode if at least one of the lesional or anogenital swabs taken during the concerned episode is positive for HSV-2 as measured by PCR. The end of RGH reporting can occur at Day 209 for participants who have not yet completed Visit 8 \[Day 209\] at the time the Informed Consent Form (ICF) addendum was signed and consented, or at non-scheduled time, being defined by the date on which participants decided to stop the RGH reporting after acknowledgement of unsuccessful primary analysis before ICF addendum consent or the day the eDiary is deactivated after ICF addendum consent.
Time frame: 14 days post-Dose 2 (Day 43) to end of RGH event reporting period
Percentage of participants free from confirmed HSV-2 RGH episode in Part II of the study
A suspected RGH episode will be classified as confirmed HSV-2 RGH episode if at least one of the lesional or anogenital swabs taken during the concerned episode is positive for HSV-2 as measured by PCR.
Time frame: At 6 months after the last study intervention administration (Day 29)
Herpes Symptoms Checklist (HSC) total score during each confirmed HSV-2 RGH episode in Part II of the study
During genital herpes recurrences, participants are asked to complete the HSC, a 13-item checklist of herpes symptoms, where respondents record the severity of symptoms on a 4-point scale where 0 indicates no symptom and a higher point for more symptoms and severity. Total scores range from 0 (no symptom) to 39 (severe symptoms). At the onset of the genital herpes recurrence, this questionnaire is to be completed once daily, until no lesions or symptoms are present. The end of RGH reporting can occur at Day 209 for participants who have not yet completed Visit 8 \[Day 209\] at the time the Informed Consent Form (ICF) addendum was signed and consented, or at non-scheduled time, being defined by the date on which participants decided to stop the RGH reporting after acknowledgement of unsuccessful primary analysis before ICF addendum consent or the day the eDiary is deactivated after ICF addendum consent.
Time frame: 14 days post-Dose 2 (Day 43) to end of RGH event reporting period
Number of days with RGH-associated symptoms during each confirmed HSV-2 RGH episode in Part II of the study
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Duration in days (i.e., number of days with RGH-associated symptoms) of each genital herpes recurrence is displayed by arm group. The end of RGH reporting can occur at Day 209 for participants who have not yet completed Visit 8 \[Day 209\] at the time the Informed Consent Form (ICF) addendum was signed and consented, or at non-scheduled time, being defined by the date on which participants decided to stop the RGH reporting after acknowledgement of unsuccessful primary analysis before ICF addendum consent or the day the eDiary is deactivated after ICF addendum consent.
Time frame: 14 days post-Dose 2 (Day 43) to end of RGH event reporting period
Number of days with confirmed HSV-2 genital herpes lesions in Part II of the study
Number of days on which lesions (swelling, blisters, sores, or crusts) are reported by the participant in the anogenital area during confirmed RGH episodes divided by the number of days of follow-up. The end of RGH reporting can occur at Day 209 for participants who have not yet completed Visit 8 \[Day 209\] at the time the Informed Consent Form (ICF) addendum was signed and consented, or at non-scheduled time, being defined by the date on which participants decided to stop the RGH reporting after acknowledgement of unsuccessful primary analysis before ICF addendum consent or the day the eDiary is deactivated after ICF addendum consent.
Time frame: 14 days post-Dose 2 (Day 43) to end of RGH event reporting period
HSV-2 shedding rate reduction from baseline to 6 weeks post-Dose 2 (Day 71) in Part II of the study
The HSV-2 shedding rate reduction is calculated as 1- (the HSV-2 shedding rate one month post-Dose 2 divided by the baseline HSV-2 shedding rate)\*100.
Time frame: At 6 weeks post-Dose 2 (Day 71) compared to baseline (Day -28 to Day -1)
Number of HSV-2 DNA shedding episodes in Part II of the study
Number of HSV-2 shedding episodes during the 28-day swabbing period.
Time frame: Day -28 to Day -1
Number of HSV-2 DNA shedding episodes in Part II of the study
Number of HSV-2 shedding episodes during the 28-day swabbing period.
Time frame: Day 43 to Day 70
Number of HSV-2 DNA shedding episodes in Part II of the study
Number of HSV-2 shedding episodes during the 28-day swabbing period.
Time frame: Day 181 to Day 208
Duration of HSV-2 DNA shedding episodes in Part II of the study
Number of days of a HSV-2 shedding episode.
Time frame: Day -28 to Day -1
Duration of HSV-2 DNA shedding episodes in Part II of the study
Number of days of a HSV-2 shedding episode.
Time frame: Day 43 to Day 70
Duration of HSV-2 DNA shedding episodes in Part II of the study
Number of days of a HSV-2 shedding episode.
Time frame: Day 181 to Day 208
Anti-HSVTI antibody geometric mean concentrations (GMCs) in Part I of the study
Time frame: At pre-study intervention administration (Day 1), Day 29, Day 64, Day 209 and Day 394
Anti-HSVTI antibody geometric mean concentrations (GMCs) in Part II of the study
Time frame: At pre-study intervention administration (Day 1), Day 29 and Day 57
Percentage of seropositive participants for anti-HSVTI antibodies in Part I of the study
Time frame: At pre-study intervention administration (Day 1), Day 29, Day 64, Day 209 and Day 394
Percentage of seropositive participants for anti-HSVTI antibodies in Part II of the study
Time frame: At pre-study intervention administration (Day 1), Day 29 and Day 57
Geometric mean of HSVTI-specific Cluster of Differentiation (CD)4+ T-cells frequency expressing at least two activation markers and including at least one cytokine in Part I of the study
Time frame: At pre-study intervention administration (Day 1), Day 29, Day 64, Day 209 and Day 394
Geometric mean of HSVTI-specific CD4+ T-cells frequency expressing at least 2 activation markers and including at least 1 cytokine in Part II of the study
Time frame: At pre-study intervention administration (Day 1), Day 29 and Day 57
Geometric mean of HSVTI-specific CD8+ T-cells frequency expressing at least two activation markers and including at least one cytokine in Part I of the study
Time frame: At pre-study intervention administration (Day 1), Day 29, Day 64, Day 209 and Day 394
Geometric mean of HSVTI-specific CD8+ T-cells frequency expressing at least 2 activation markers and including at least 1 cytokine in Part II of the study
Time frame: At pre-study intervention administration (Day 1), Day 29 and Day 57