Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR201709002547410 Date of Registration: 24/08/2017
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title A-050 MTBVAC Phase 1b/2a Safety, Immunogenicity, and Dose-escalation Study in Adults
Official scientific title MTBVAC Phase 1b/2a Randomized, Double-blind, Active-controlled, Safety, Immunogenicity, and Dose-escalation Study in Adults with and without Latent Tuberculosis Infection in South Africa
Brief summary describing the background and objectives of the trial Primary Objective The primary objective of this study is: ¿ To evaluate safety and reactogenicity of MTBVAC at escalating dose levels compared to BCG vaccine. Secondary Objective(s) The secondary objectives of this study are: ¿ To evaluate immunogenicity of MTBVAC at escalating dose levels. ¿ To evaluate QFT conversion and reversion rates in QFT-negative adults, receiving escalating dose levels of MTBVAC. ¿ To evaluate QFT conversion and reversion rates in QFT-negative adults, receiving escalating dose levels of MTBVAC in comparison to BCG. Exploratory Objectives Samples will be kept for future analyses: ¿ To evaluate exploratory immune responses to escalating dose levels of MTBVAC and to BCG (including, but not necessarily limited
Type of trial RCT
Acronym (If the trial has an acronym then please provide) A 050
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied Tuberculosis
Purpose of the trial Prevention
Anticipated trial start date 08/01/2018
Actual trial start date
Anticipated date of last follow up 28/01/2019
Actual Last follow-up date
Anticipated target sample size (number of participants) 120
Actual target sample size (number of participants)
Recruitment status Not yet recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
NCT02933281 Clinicaltrials.gov
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Parallel: different groups receive different interventions at same time during study Randomised randomly-generated sequence of numbers (randomization schedule) managed by a validated IXRS Central randomization by phone/fax/web Masking/blinding used
Parallel: different groups receive different interventions at same time during study Randomised randomly-generated sequence of numbers (randomization schedule) managed by a validated IXRS Central ranomization by phone/fax/web Masking/blinding used
Parallel: different groups receive different interventions at same time during study Randomised randomly-generated sequence of numbers (randomization schedule) managed by a validated IXRS Central randomization by phone/fax/web Masking/blinding used Care giver/Provider,Outcome Assessors,Participants
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Control Group BCG (Tokyo 172 strain) 0.1 mL Day 0 1 dose, Intradermal deltoid injection 24 Active-Treatment of Control Group
Experimental Group MTBVAC 5 x 10^3 CFU 1 dose, day 0 QFT neg; Intradermal deltoid injection 12
Experimental Group MTBVAC 5 x 10^4 1 dose, Day 0 QFTneg; Intradermal deltoid injection 12
Experimental Group MRBVAC 5 x 10^5 1 dose, Day 0 QFT neg; Intradermal deltoid injection 12
Experimental Group MTBVAC 5 x 10^6 1 dose, Day 0 QFT neg; Intradermal deltoid injection 12
Experimental Group MTBVAC 5 x 10^3 1 dose, Day 0 QFT pos; Intradermal deltoid injection 12
Experimental Group MTBVAC 5 x 10^4 1 dose, Day 0 QFT pos; Intradermal deltoid injection 12
Experimental Group MTBVAC 5 x 10^5 CFU 1 dose, Day 0 QFT pos; Intradermal deltoid injection 12
Experimental Group MTBVAC 5 x 10^6 CFU 1 dose, Day 0 QFT pos; Intradermal deltoid injection 12
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
1. Has completed the written informed consent process. 2. Is male or female aged 18 through 50 years on Study Day 0. 3. Agrees to stay in contact with the clinical trial site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study. 4. For female participants: agrees to avoid pregnancy from 21 days prior to Study Day 0 and for the full duration of the study. Women physically capable of pregnancy (not sterilized and still menstruating or within 1 year of the last menses if menopausal) in sexual relationships with men must use an acceptable method of avoiding pregnancy during this period. Acceptable methods of avoiding pregnancy include a sterile sexual partner, hormonal contraceptives (oral, injection, transdermal patch, or implant), vaginal ring, or intrauterine device (IUD). 5. Has general good health, confirmed by medical history and physical examination. 6. Had BCG vaccination, documented through medical history or presence of scar. 7. Has not shared enclosed living or work space with someone diagnosed with TB during the 3 months prior to Study Day 0. 8. [Cohorts 1-4] Does not have LTBI, determined by a negative QFT test at screening. or [Cohorts 5-8] Has LTBI, determined by a positive QFT test at screening. 1. Acute illness on Study Day 0. 2. Axillary temperature ¿37.5°C on Study Day 0. 3. Abnormal laboratory values from most recent blood collection prior to Study Day 0 randomization that are equivalent to Grade 2 or more toxicity, per the protocol toxicity table, or if deemed clinically significant. 4. Severe anemia, defined as <10 g/dL hemoglobin or hematocrit <30%. 5. Screening thyroid stimulating hormone (TSH) >upper limit of normal per local laboratory range. 6. Suspicion or evidence (including but not limited to sputum Xpert MTB/RIF positive) of active TB disease at any site. An attempt must be made to obtain sputum from each participant; persons who are sputum unproductive will be assumed to be Xpert MTB/RIF negative. 7. History of treatment for TB disease. 8. History of autoimmune disease or immunosuppression. 9. Used immunosuppressive medication within 42 days before Study Day 0 (inhaled and topical corticosteroids are permitted). 10. Received immunoglobulin or blood products within 42 days before Study Day 0. 11. Received any investigational drug or investigational vaccine within 182 days before Study Day 0, or planned participation in any other investigational study during the study period. 12. Received investigational Mtb vaccine at any time prior to Study Day 0. 13. Planned administration/administration of a licensed vaccine in the period starting 28 days before and ending 28 days after dosing with investigational product. 14. History or laboratory evidence of any past, present, or future possible immunodeficiency state including but not limited to any laboratory indication of HIV-1 infection. 15. History of allergic disease or reactions, including eczema, likely to be exacerbated by any component of the investigational product. 16. Previous medical history that may compromise the safety of the participant in the study, including but not limited to: impairment of pulmonary function from TB infection or other pulmonary disease; chronic illness with signs of cardiac or renal failure; suspected progressive neurological disease; uncontrolled epilepsy or infantile spasms; or diabetes mellitus. 17. History or evidence on physical examination of any systemic disease or any acute or chronic illness that, in the opinion of the investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine, including axillary lymphadenopathy. 18. Female participants: currently pregnant or lactating/nursing; or positive urine pregnancy test during screening or pre-vaccination on Study Day 0. 19. Any current medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, could endanger the participant or make it unlikely that the participant will comply with the protocol. 18 Year(s) 50 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
No 01/08/2017 UCT HREC
Ethics Committee Address
Street address City Postal code Country
Old Main Building; Groote Schuur Hospital Observatory 7925 South Africa
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome To evaluate safety and reactogenicity of MTBVAC at escalating dose levels compared to BCG vaccine. Solicited adverse event day 0-28 solicieted and unsolicited injection site reactions day 0-84 Serious adverse events day 0 through day 365
Secondary Outcome To evaluate immunogenicity of MTBVAC at escalating dose levels. 12 hour whole blood (WB) intracellular cytokine staining (ICS) assay at Study Days 0, 28, 56, 182, and 365.
Secondary Outcome To evaluate QuantiFERON® TB (QFT) conversion and reversion rates in QFT-negative adults, receiving escalating dose levels of MTBVAC. QFT Gold Plus assay at screening and Study Day 365 (all cohorts); and Study Days 28, 56, 84, and 182 (Cohorts 1-4).
Secondary Outcome To evaluate QFT conversion and reversion rates in QFT-negative adults, receiving escalating dose levels of MTBVAC in comparison to BCG. QFT Gold Plus assay at screening and Study Day 365 (all cohorts); and Study Days 28, 56, 84, and 182 (Cohorts 1-4).
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
SATVI Brewelskloof Hospital; Harlem Street Worcester 6850 South Africa
FUNDING SOURCES
Name of source Street address City Postal code Country
CDMRP United States of America
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Aeras 1405 Research Blvd Rockville 20850 United States of America Commercial Sector/Industry
COLLABORATORS
Name Street address City Postal code Country
Biofabri, SL (Spain) 36410 O Porriño Pontevedra Spain
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Michele Tameris michele.tameris@uct.ac.za 27 23 346 5400 Brewelskloof Hospital, Harlem street
City Postal code Country Position/Affiliation
Worcester 6850 South Africa SATVI
Role Name Email Phone Street address
Public Enquiries Robert Hopkins rhopkins@aeras.org 301-547-2922 1405 Research Blvd
City Postal code Country Position/Affiliation
Rockville 20850 United States of America Product Director
Role Name Email Phone Street address
Scientific Enquiries Ann Ginsberg aginsberg@aeras.org 301-547-2912 1405 Research Blvd
City Postal code Country Position/Affiliation
Rockville 20850 United States of America Chief Medical Officer
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
URL Results Available Results Summary Result Posting Date First Journal Publication Date
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information