This is a partially randomized, open-label phase 1 study to evaluate the safety and immunogenicity of a priming regimen of 426c.Mod.Core-C4b adjuvanted with 3M-052 AF + Alum followed by boosts with HxB2.WT.Core-C4b adjuvanted with 3M-052 AF + Alum. The primary hypothesis is that the boosting with HxB2.WT.Core-C4b adjuvanted with 3M-052 AF + Alum will further mature broadly neutralizing antibody (bnAb)-precursor B-cell lineages elicited by 426c.Mod.Core-C4b adjuvanted with 3M-052 AF + Alum. 426c.Mod.Core-C4b adjuvanted with 3M-052 AF + Alum has been tested in HVTN 301 previously, whereas the HxB2.WT.Core-C4b will be first-in-human (FIH).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
42
426c.Mod.Core-C4b is supplied at a concentration of 2 mg/mL, 0.55 mL per vial.
HxB2.WT.Core-C4b is supplied at a concentration of 1 mg/mL, 0.5 mL per vial
immune response modifier (IRM)
Alhydrogel.
Tris-NaCl buffer
Bridge HIV, San Francisco Department of Public Health
San Francisco, California, United States
NOT_YET_RECRUITINGPonce de Leon Center CRS
Atlanta, Georgia, United States
NOT_YET_RECRUITINGThe Hope Clinic of the Emory Vaccine Research Center; Emory University
Decatur, Georgia, United States
RECRUITINGBrigham and Women's Hospital Vaccine CRS (BWH VCRS)
Boston, Massachusetts, United States
RECRUITINGColumbia Physicians & Surgeons
New York, New York, United States
NOT_YET_RECRUITINGNY Blood Center CRS
New York, New York, United States
WITHDRAWNIncidence of Local Signs and Symptoms within 14 Days Post-Vaccination
Time frame: Within 14 days of receiving study vaccine
Incidence of Systemic Reactogenicity Signs and Symptoms within 14 Days Post-Vaccination
Time frame: Within 14 days of receiving study vaccine
Incidence of Serious Adverse Events Over 52 Weeks Post-Vaccination
Time frame: throughout the study and for 52 weeks following any receipt of the study product
Incidence of Medically Attended Adverse Events Over 52 Weeks Post-Vaccination
Time frame: throughout the study and for 52 weeks following any receipt of the study product
Incidence of Adverse Events of Special Interest Over 52 Weeks Post-Vaccination
Time frame: throughout the study and for 52 weeks following any receipt of the study product
Incidence of Adverse Events Leading to Withdrawal or Discontinuation Over 52 Weeks Post-Vaccination
Time frame: throughout the study and for 52 weeks following any receipt of the study product
Frequency of CD4-bs-specific B cells before and approximately 12 weeks after each HxB2.WT.Core-C4b boost
assessed by flow cytometry
Time frame: 12 weeks after each HxB2.WT.Core-C4b boost
Evolution of CD4-bs-Specific BCRs Before and 12 Weeks After Each HxB2.WT.Core-C4b Boost
Assessed by VH/VL Sequencing of Sorted B Cells
Time frame: 12 Weeks After Each HxB2.WT.Core-C4b Boost
Response rate of serum antibodies at 2 weeks after the final 426c.Mod.Core-C4b prime and 2 weeks after each HxB2.WT.Core-C4b boost
will be assessed against a panel of autologous, precursor-sensitive, and heterologous viruses as measured by TZM-bl assay
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Potency of serum antibodies at 2 weeks after the final 426c.Mod.Core-C4b prime and 2 weeks after each HxB2.WT.Core-C4b boost
will be assessed against a panel of autologous, precursor-sensitive, and heterologous viruses as measured by TZM-bl assay
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Neutralizing breadth of serum antibodies at 2 weeks after the final 426c.Mod.Core-C4b prime and 2 weeks after each HxB2.WT.Core-C4b boost
will be assessed against a panel of autologous, precursor-sensitive, and heterologous viruses as measured by TZM-bl assay
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Response rate of Env-specific serum IgG binding antibodies will be assessed at 2 weeks after the final 426c.Mod.Core-C4b prime and 2 weeks after each HxB2.WT.Core-C4b boost
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Magnitude of Env-specific serum IgG binding antibodies will be assessed at 2 weeks after the final 426c.Mod.Core-C4b prime and 2 weeks after each HxB2.WT.Core-C4b boost
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Epitope specificity of Env-specific serum IgG binding antibodies will be assessed at 2 weeks after the final 426c.Mod.Core-C4b prime and 2 weeks after each HxB2.WT.Core-C4b boost
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Breadth of Env-specific serum IgG binding antibodies will be assessed at 2 weeks after the final 426c.Mod.Core-C4b prime and 2 weeks after each HxB2.WT.Core-C4b boost
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Magnitude of binding of Env-specific IgG binding antibodies
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Epitope specificity of Env-specific IgG binding antibodies
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Breadth of Env-specific IgG binding antibodies
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Potency of neutralizing antibodies
as measured by TZM-bl assay
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Breadth of neutralizing antibodies
as measured by TZM-bl assay
Time frame: 2 weeks after each HxB2.WT.Core-C4b boost
Response rate of Env-specific serum IgG binding antibodies
Time frame: at week 6 (visit 3) and week 17 (visit 5)
Magnitude of Env-specific serum IgG binding antibodies
Time frame: at week 6 (visit 3) and week 17 (visit 5)
Epitope specificity of Env-specific serum IgG binding antibodies
Time frame: at week 6 (visit 3) and week 17 (visit 5)
Breadth of Env-specific serum IgG binding antibodies
Time frame: at week 6 (visit 3) and week 17 (visit 5)
Response rate of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at week 6 (visit 3) and week 17 (visit 5)
Potency of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at week 6 (visit 3) and week 17 (visit 5)
Breadth of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at week 6 (visit 3) and week 17 (visit 5)
Frequency of CD4-bs-specific B cells
as measured by flow cytometry
Time frame: at week 15 (visit 4, prior to vaccination 2) and week 27 (visit 6, prior to vaccination 3)
Evolution of CD4-bs-specific BCRs
assessed by VH/VL sequencing of sorted B cells
Time frame: at week 15 (visit 4, prior to vaccination 2)
Response rate of Env-specific serum IgG binding antibodies
Time frame: at approximately 4 weeks post the first prime (visit 3) and week 17 (visit 5)
Magnitude of Env-specific serum IgG binding antibodies
Time frame: at approximately 4 weeks post the first prime (visit 3) and week 17 (visit 5)
Epitope specificity of Env-specific serum IgG binding antibodies
Time frame: at approximately 4 weeks post the first prime (visit 3) and week 17 (visit 5)
Breadth of Env-specific serum IgG binding antibodies
Time frame: at approximately 4 weeks post the first prime (visit 3) and week 17 (visit 5)
Response rate of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at approximately 4 weeks post the first prime (visit 3) week 17 (visit 5)
Potency of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at approximately 4 weeks post the first prime (visit 3) week 17 (visit 5)
Breadth of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at approximately 4 weeks post the first prime (visit 3) week 17 (visit 5)
Frequency of CD4-bs-specific B cells
as measured by flow cytometry
Time frame: at week 15 (visit 4, prior to vaccination 2) and week 27 (visit 6, prior to vaccination 3).
Response rate of Env-specific serum IgG binding antibodies
Time frame: at approximately week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Magnitude of Env-specific serum IgG binding antibodies
Time frame: at approximately week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Epitope specificity of Env-specific serum IgG binding antibodies
Time frame: at approximately week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Breadth of Env-specific serum IgG binding antibodies
Time frame: at approximately week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Response rate of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at approximately week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Potency of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at approximately week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Breadth of neutralizing antibodies
as measured by TZM-bl assay
Time frame: at approximately week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Frequency of CD4-bs-specific B cells
as measured by flow cytometry
Time frame: at week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
Evolution of CD4-bs-specific BCRs
assessed by VH/VL sequencing of sorted B cells
Time frame: at week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)]
Response rate of Env-specific serum IgG binding antibodies
Time frame: at week 29 (visit 7), week 39 (visit 8, prior to vaccination 4), week 41 (visit 9), and week 51 (visit 10)
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