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CompletedNCT00562939ITAPUpdated Jan 21, 2009

Immune Response to Toll-Like Receptor 9-Agonist Adjuvanted Pneumococcal Vaccination in HIV Infected Adults

A Phase 1/2 interventional study of Pneumococcal vaccines + CPG 7909 and Pneumococcal vaccines in HIV Infections, sponsored by University of Aarhus. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-01-21.

Sponsored by University of Aarhus · Phase 1/2, Interventional, and Prevention

Phase
Phase 1/2
Study type
Interventional
Enrollment
97
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to determine whether TLR-9 adjuvanted pneumococcal is more immunogenic than pneumococcal vaccination alone in HIV-infected adults.

Read the detailed description

Pneumococcal disease is a major source of morbidity and mortality in HIV-patients. HIV-patients are vaccine hyporesponders. A good immune response to pneumococcal vaccination enhances vaccine effectiveness, thereby preventing the morbidity and mortality caused by pneumococcal disease. Even when an optimized regimen containing both conjugated and polysaccharide pneumococcal vaccine is used, only 13% of the immunized HIV patients are high responders at week 96. Recent data indicate that TLR9-agonists have excellent vaccine adjuvant potential and are safe to use in immunocompetent as well as immunocompromised individuals. The aim of this study is to evaluate the qualitative and quantitive immune response to pneumococcal vaccination with or without TLR9-agonist in HIV-infected adults

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Conditions studied

  • HIV Infections

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Keywords

  • Antibody Formation
  • Antibody Affinity
  • Immunity
  • Pneumococcal Vaccines
  • Oligodeoxyribonucleotides
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In context

HIV Infections

4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 97 is above the median of 83 across 3,251 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

University of Aarhus is the lead sponsor of 1,274 studies on the registry; 183 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Written informed consent and authority statement provided according to local regulatory and ethical practice using a participant information sheet and informed consent form approved by the responsible Ethics Committee.
  • HIV-seropositive individuals.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy as determined by a positive urine beta-hCG (if female)
  • Participant unwilling to use reliable contraception methods for the duration of the trial. Reliable methods of birth control include: pharmacologic contraceptives including oral, parenteral, and transcutaneous delivery; condoms with spermicide; diaphragm with spermicide; surgical sterilization; vaginal ring; intrauterine device; abstinence; and post-menopause (if female)
  • Currently breast-feeding (if female)
  • Latest CD4 count \< 200 x106 cells/µL
  • Viral load (HIV RNA) > 50 copies/mL if on HAART (defined as at least three antiretrovirals including either a protease inhibitor or a NNRTI, i.e. combivir 300/150 mg x2 + stocrin 600 mg x1 for a minimum of 6 months)
  • Previous enrollment in this study
  • Any medical, psychiatric, social, or occupational condition or other responsibility that, in the judgment of the Principal Investigator (PI), would interfere with the evaluation of study objectives (such as severe alcohol abuse, severe drug abuse, dementia)
  • Unable to follow protocol regimen
  • Pneumococcal vaccination 5 years or less prior to inclusion
  • Planned participation in other vaccination trials during the time of the study
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
97 participants (actual)

Study arms

  • Experimental
    A

    1 mg CpG 7909 + pneumococcal vaccines

    Biological: Pneumococcal vaccines + CPG 7909

  • Placebo comparator
    B

    Pneumococcal vaccines

    Biological: Pneumococcal vaccines

Interventions

  • BiologicalPneumococcal vaccines + CPG 7909

    Day 0: 1 ml Prevenar (double dose) + 1 mg CpG 7909, IM Day 90: 1 ml Prevenar (double dose) + 1 mg CpG 7909, IM Day 270: 0.5 ml Pneumo Novum + 1 mg CpG 7909, IM

    Also known as: Cpg 7909/Vaximmune(TM)

  • BiologicalPneumococcal vaccines

    Day 0: 1 ml Prevenar (double dose) + placebo, IM Day 90: 1 ml Prevenar (double dose) + placebo, IM Day 270: 0.5 ml Pneumo Novum + placebo, IM

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What researchers measure

Primary outcomes

  1. Numbers of vaccine high responders - defined as 2-fold increase and IgG levels ≥1 µg/mL to at least 5 of 7 pneumococcal serotypes (by quantitative IgG measurements) - in the CpG 7909 group vs. the control group

    Time frame: At day 270

Secondary outcomes

  1. Functional activity of anticapsular antibodies measured by OPA

    Time frame: At day 90, 120, 270, 300

  2. Safety/Tolerability

    Time frame: During the entire trial period

  3. Nasopharyngeal pneumococcal colonization

    Time frame: At day 270

  4. Predictors of antibody response, i.e. CD4+ cell count and sCD163

    Time frame: At baseline

  5. Numbers of vaccine high responders - defined as 2-fold increase and IgG levels ≥1 µg/mL to at least 5 of 7 pneumococcal serotypes (by quantitative IgG measurements) - in the CpG 7909 group vs. the control group

    Time frame: At day 90,120 and 300

  6. Quantity and differentiation of IgG subtypes for HAART-experienced and HAART-naive individuals

    Time frame: Day 0, 90, 120

  7. Cytokine response to various antigens by in vitro cell stimulation for HAART-experienced and HAART-naive individuals

    Time frame: At day 0, 90, 120

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Study locations

1 site
  • Department of Infectious Diseases, Aarhus University Hospital
    Aarhus, 8200, Denmark
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References and documents

Publications

  • Offersen R, Melchjorsen J, Paludan SR, Ostergaard L, Tolstrup M, Sogaard OS. TLR9-adjuvanted pneumococcal conjugate vaccine induces antibody-independent memory responses in HIV-infected adults. Hum Vaccin Immunother. 2012 Aug;8(8):1042-7. doi: 10.4161/hv.20707. Epub 2012 Aug 1. PubMed 22854665 ↗
  • Sogaard OS, Lohse N, Harboe ZB, Offersen R, Bukh AR, Davis HL, Schonheyder HC, Ostergaard L. Improving the immunogenicity of pneumococcal conjugate vaccine in HIV-infected adults with a toll-like receptor 9 agonist adjuvant: a randomized, controlled trial. Clin Infect Dis. 2010 Jul 1;51(1):42-50. doi: 10.1086/653112. PubMed 20504165 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 21, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00562939
Lead sponsor
University of Aarhus
Collaborators
Aarhus University Hospital
First posted
Nov 26, 2007
Start date
Jan 2008
Primary completion
Jan 2009
Completion
Jan 2009
Last update
Jan 21, 2009

Study contacts

Ole Sogaard, MD
principal investigator · Department of Infectious Diseases, Aarhus University Hospital, Denmark
Lars Ostergaard, MD,PhD,DmSC
study director · Department of Infectious Diseases, Aarhus University Hospital, Denmark

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2009. You cannot join it, but the record below documents what was studied.

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