The goal of this clinical trial is to test 16055 NFL delta Gly4 Env protein trimer and Trimer 4571 combined with 3M-052-AF + Alum adjuvant and Ad4-Env145NFL viral particles as heterologous prime-boost regimens in adult participants without HIV. The main question\[s\] it aims to answer are: * Are these vaccine regimens safe and well tolerated? * Are the prime-boost vaccine regimens that include Ad4-Env145NFL and Trimer 4571 as heterologous boosts going contribute to the development of B-cell and antibody responses? Participants will attend scheduled study visits to receive their vaccine and will record symptoms on a daily eDiary.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
45
200 mcg admixed with 3M-052-AF, 5 mcg and Alum, 500 mcg to be administered as 2 separate IM injections (0.27 mL each)
100 mcg admixed with 3M-052-AF, 5 mcg and Alum, 500 mcg to be administered as 2 separate IM injections (0.2 mL each)
to be administered intranasally (IN) (0.07 mL into 1 nostril)
Alabama CRS
Birmingham, Alabama, United States
The Hope Clinic of the Emory Vaccine Center CRS Site# 31440
Decatur, 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
University of Rochester HIV/AIDS CTU
Rochester, New York, United States
University of Pennsylvania HIV Therapeutics and Prevention Clinical Trials Unit
Philadelphia, Pennsylvania, United States
Local reactogenicity signs and symptoms
for a minimum of 14 days following receipt of intramuscular injections and intranasal administrations of study products.
Time frame: 2 weeks following any injection
Systemic reactogenicity signs and symptoms
for a minimum of 14 days following receipt of intramuscular injections and intranasal administrations of study products.
Time frame: 2 weeks following any injection
Number of adverse events (AEs) reported for 30 days after receipt of any study product
Time frame: 30 days following any injection
Number of Serious Adverse Reactions (SAEs) leading to early participant withdrawal or permanent discontinuation
Time frame: 12 months following receipt of any study product
Number of Medically Attended Adverse Event (MAAEs) leading to early participant withdrawal or permanent discontinuation
Time frame: 12 months following receipt of any study product
Number of Adverse Events of Special Interest (AESIs) that are Potential Immune Mediated Medical Conditions (PIMMCs) leading to early participant withdrawal or permanent discontinuation
Time frame: 12 months following receipt of any study product
Number of Adverse Events (AEs) leading to early participant withdrawal or permanent discontinuation
Time frame: 12 months following receipt of any study product
Occurrence of serum IgG binding antibodies to vaccine-matched HIV-1 Env trimers and specific epitopes (e.g., CD4 binding site, V2, base of trimer, etc)
Measured by binding antibody multiplex assay (BAMA) after the fourth and fifth vaccinations.
Time frame: Week 34 (following the 4th vaccine), Week 54 for Group 1, 2, and Week for Group 3 (following the 5th vaccine)
Magnitude of serum IgG binding antibodies to vaccine-matched HIV-1 Env trimers and specific epitopes (e.g., CD4 binding site, V2, base of trimer, etc.)
measured by binding antibody multiplex assay (BAMA) after the fourth and fifth vaccinations
Time frame: Week 34 (following the 4th vaccine), Week 54 for Group 1, 2, and Week for Group 3 (following the 5th vaccine)
Response Rate of serum IgG binding antibodies to vaccine-matched HIV-1 Env trimers and specific epitopes (e.g., CD4 binding site, V2, base of trimer, etc.)
measured by binding antibody multiplex assay (BAMA) after the fourth and fifth vaccinations
Time frame: Week 34 (following the 4th vaccine), Week 54 for Group 1, 2, and Week for Group 3 (following the 5th vaccine)
Occurrence of serum antibody neutralization of the autologous pseudovirus HIV-1 strains (including vaccine-matched deglycosylated 16055, WT 16055, BG505, 1086)
as measured by the TZM-bl assay
Time frame: 2 weeks after the second vaccination and following subsequent vaccinations
Magnitude of serum antibody neutralization of the autologous pseudovirus HIV-1 strains (including vaccine-matched deglycosylated 16055, WT 16055, BG505, 1086)
as measured by the TZM-bl assay
Time frame: 2 weeks after the second vaccination and following subsequent vaccinations
Response Rate of serum antibody neutralization of the autologous pseudovirus HIV-1 strains (including vaccine-matched deglycosylated 16055, WT 16055, BG505, 1086)
as measured by the TZM-bl assay
Time frame: 2 weeks after the second vaccination and following subsequent vaccinations
Occurrence of serum antibody neutralization of HIV-1 strains
as measured by TZM-bl assay to a panel of tier 1 and tier 2 HIV-1 strains
Time frame: Through study completion, an average of 1 year
Magnitude of serum antibody neutralization of HIV-1 strains
as measured by TZM-bl assay to a panel of tier 1 and tier 2 HIV-1 strains
Time frame: Week 34 (following the 4th vaccine), Week 54 for Group 1, 2, and Week for Group 3 (following the 5th vaccine)
Response Rate of serum antibody neutralization of HIV-1 strains
as measured by TZM-bl assay to a panel of tier 1 and tier 2 HIV-1 strains
Time frame: Week 34 (following the 4th vaccine), Week 54 for Group 1, 2, and Week for Group 3 (following the 5th vaccine)
Flow cytometry analysis of the frequency of Env-specific IgG+ B cells
Time frame: Week 34 (following the 4th vaccine), Week 54 (following the 5th vaccine)
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Occurrence of serum IgG binding antibodies as measured by BAMA
Time frame: 2 weeks after second and third vaccinations
Magnitude of serum IgG binding antibodies as measured by BAMA
Time frame: 2 weeks after second and third vaccinations
Response Rate of serum IgG binding antibodies as measured by BAMA
Time frame: 2 weeks after second and third vaccinations
Number of Isolation of CD4bs bnAb specific VH and VL alleles and characteristic mutations
as measured by B-cell receptor (BCR) sequencing
Time frame: Through study completion, an average of 1 year
Flow cytometry analysis of the frequency of Env-specific IgG+ B cells at 26 weeks and 52 weeks after the fifth vaccination
Time frame: At 26 weeks and 52 weeks after the fifth vaccination
Occurrence of serum IgG binding antibodies
as measured by BAMA
Time frame: 26 weeks after the fifth vaccination
Magnitude of serum IgG binding antibodies
as measured by BAMA
Time frame: 26 weeks after the fifth vaccination
Response Rate of serum IgG binding antibodies
as measured by BAMA
Time frame: 26 weeks after the fifth vaccination
Occurrence of serum antibody neutralization to tier 2 HIV-1 strains
as measured by the TZM-bl assay 26 weeks after the fifth vaccination
Time frame: 26 weeks after the fifth vaccination
Magnitude of serum antibody neutralization to tier 2 HIV-1 strains
as measured by the TZM-bl assay 26 weeks after the fifth vaccination
Time frame: 26 weeks after the fifth vaccination
Response Rate of serum antibody neutralization to tier 2 HIV-1 strains
As measured by the TZM-bl assay 26 weeks after the fifth vaccination.
Time frame: 26 weeks after the fifth vaccination
Epitope specific response rates as measured by electron microscopy polyclonal epitope mapping (EMPEM)
Time frame: Week 18 (following the 3rd vaccine), Week 34 (following the 4th vaccine) and Week 54 (following the 5th vaccine)