The clinical study is designed to evaluate the ability of two priming vaccine regimens to activate and induce the maturation of cross-reactive CD4 binding site (CD4-bs) antibodies, including VRC01-class antibodies. VRC01- class antibodies are highly desirable to elicit via vaccination because they have broad cover all clades of HIV and passive administration of VRC01 monoclonal antibodies has been demonstrated to prevent acquisition of susceptible HIV strains in clinical trials. The study will assess whether B cells expressing VRC01-like B cell receptors proliferate following immunization with a 'germline-targeting' recombinant Env immunogen. The study will also test whether an immunization strategy based upon fractionated dose delivery of the immunogen may improve the maturation of VRC01-class B cells when compared to traditional bolus dosing. In addition, the study will test whether alterations in the dose of the subsequent boost immunizations affects VRC01-class B cell activation and the rate of antibody affinity maturation. The primary hypothesis of the optional boost regimen is that BG505 SOSIP.GT1.1 gp140 adjuvated with 3M-052-AF + Alum is safe and well-tolerated and will further mature B-cell lineages elicited by 426c.Mod.Core-C4b priming regimens.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
52
Administered via injection as a split dose into the deltoid muscle (both left and right).
Administered via injection as a split dose into the deltoid muscle (both left and right).
Administered via injection as a split dose into the deltoid muscle (both left and right).
Administered via injection as a split dose into the deltoid muscle (both left and right).
A soluble, cleavage-competent, trimeric HIV-1 envelope glycoprotein gp140 formulated at 2 mg/mL, 0.55 mL per vial, in 20 mM Tris, 100 mM NaCl, pH 7.5 will be admixed with 3M-052-AF (5 mcg) + Alum (500 mcg
Alabama CRS
Birmingham, Alabama, United States
Bridge HIV CRS
San Francisco, California, United States
The Ponce de Leon Center CRS
Atlanta, Georgia, United States
Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
Boston, Massachusetts, United States
Columbia P&S CRS
New York, New York, United States
Seattle Vaccine and Prevention CRS
Seattle, Washington, United States
Number of participants showing local vaccination reactogenicity signs and symptoms
Assessed by clinic staff. For a given sign or symptom, each subject's reactogenicity will be counted once under the maximum severity for each injection/ vaccination.
Time frame: 14 days following each vaccination
Number of participants showing systemic vaccination reactogenicity signs and symptoms
Assessed by clinic staff. For a given sign or symptom, each subject's reactogenicity will be counted once under the maximum severity for each injection/ vaccination.
Time frame: 14 days following each vaccination
Number of serious adverse events (SAEs)
Adverse events (AEs) will be graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1 (exceptions apply).
Time frame: Through week 64
Number of medically attended adverse events (MAAEs)
Adverse events (AEs) will be graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1 (exceptions apply).
Time frame: Through week 64
Number of adverse events of special interest (AESIs)
Adverse events (AEs) will be graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1 (exceptions apply).
Time frame: Through week 64
Number of AEs leading to early participant withdrawal or permanent discontinuation
Adverse events (AEs) will be graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1 (exceptions apply).
Time frame: Through week 64
Frequency of CD4-bs-specific B cells
Measured by flow cytometry analysis
Time frame: Through week 27
Frequency of VRC01-like BCR sequences
Determined by variable heavy chain domain (VH)/variable light chain domain (VL) sequencing of sorted B cells
Time frame: Through week 27
Response rate of Env-specific serum IgG binding antibodies.
Time frame: Through week 27
Magnitude of Env-specific serum IgG binding antibodies.
Time frame: Through week 27
Epitope-specificity of Env-specific serum IgG binding antibodies.
Time frame: Through week 27
Avidity of Env-specific serum IgG binding antibodies.
Time frame: Through week 27
Frequency of CD4-bs B cells and BCR sequences of isolated CD4-bs and VRC01-class memory B cells induced post-immunization with the traditional bolus dosing versus the fractionated dose delivery approach.
Time frame: Through week 27
Frequency of CD4-bs B cells and BCR sequences of isolated CD4-bs and VRC01-class memory B cells induced post-immunization induced following a "low" or "high" dose second dose.
Time frame: 14 days following second vaccination
Frequency of VRC01-class memory B cells induced post-immunization with the traditional bolus dosing versus the fractionated dose delivery approach.
Time frame: Through week 27
Frequency of VRC01-class memory B cells induced following a "low" or "high" dose second dose.
Time frame: 14 days following second vaccination
Response rate of serum antibody neutralization of the vaccine strain
Measured by TZM-bl assay.
Time frame: 14 days following each vaccination
Response rate of serum antibody neutralization of a panel of CD4-bs bnAb precursor-sensitive viruses.
Measured by TZM-bl assay.
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Time frame: 14 days following each vaccination
Magnitude of serum antibody neutralization of the vaccine strain
Measured by TZM-bl assay.
Time frame: 14 days following each vaccination
Magnitude of serum antibody neutralization of a panel of CD4-bs bnAb precursor-sensitive viruses.
Measured by TZM-bl assay.
Time frame: 14 days following each vaccination
Comparison of CD4-bs-specific B cell frequencies in fractionated dosing versus traditional bolus dosing.
Time frame: Through week 27
Comparison of BCR sequences frequencies in fractionated dosing versus traditional bolus dosing.
Time frame: Through week 27
Response rate of VH/VL-pair sequence analysis of BCRs isolated from CD-4-bs-specific B cells
Time frame: !4 days following each vaccination
Response rate of BG505 SOSIP.GT1.1 gp140 on the neutralizing activities of vaccine-induced antibodies in participants primed with 426c
Time frame: Through week 27
Response rate of BG505 SOSIP.GT1.1 gp140 on the quality and quantity of Env-specific binding antibodies elicited after the GT1.1 immunization in participants primed with 426c
Time frame: Through week 27
. Magnitude of BG505 SOSIP.GT1.1 gp140 on the quality and quantity of Env-specific binding antibodies elicited after the GT1.1 immunization in participants primed with 426c
Time frame: Through week 27
Epitope specificity of BG505 SOSIP.GT1.1 gp140 on the quality and quantity of Env-specific binding antibodies elicited after the GT1.1 immunization in participants primed with 426c
Time frame: Through week 27
Comparison of CD4-bs antibodies isolated after the GT.1 immunization, as compared to those elicited by the 426c
Time frame: Through week 27
Response rate of BG505 SOSIP.GT1.1 gp140 on the CD4+ T cell response in participants primed with 426c
Time frame: Through week 27
Magnitude of BG505 SOSIP.GT1.1 gp140 on the CD4+ T cell response in participants primed with 426c
Time frame: Through week 27