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CompletedNCT02066428Updated Feb 19, 2014

A Phase I Randomized Placebo-Controlled, Double-Blind Study to Evaluate Safety and Immunogenicity of AERAS-404 Administered as Different Amounts of Antigen and Adjuvant Combinations in HIV-Negative BCG-Vaccinated Adults Without Evidence of Tuberculosis Infection

A Phase 1 interventional study of AERAS-404 and Placebo in Tuberculosis, sponsored by Aeras. Completed at 1 site in Sweden. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-02-19.

Sponsored by Aeras · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Phase I, randomized, double blinded, Placebo-controlled, immunogenicity and dose-range finding study of AERAS-404 in Bacille Calmette-Guerin (BCG) healthy adult male and sterile females.

Read the detailed description

This ia a Phase I, randomized, placebo-controlled, double-blind study in three groups of healthy adult males or sterile females who are BCG-vaccinated, HIV-negative, and have no evidence of tuberculosis infection.

Sixty-four subjects assigned to one of eight treatment groups to receive one of four different antigen/adjuvant combinations of study vaccine, or placebo control. Within each study group, subjects will be randomized to receive either a single-dose antigen/adjuvant regimen of study vaccine (vaccination with study vaccine on Study Day 0 followed by vaccination with placebo control on Study Day 56) or a two-dose antigen/adjuvant regimen of study vaccine (vaccination with study vaccine on Study Days 0 and 56).

All subjects will be followed for safety and immunogenicity evaluations for 182 days.

The sample sizes specified for each study group were selected because they are judged to be adequate for preliminary safety and immunogenicity evaluations for a Phase I study rather than for statistical reasons. If no SAE are observed among 56 subjects receiving active study vaccine, an approximation to the upper 95% confidence bound on the rate of SAE occurrence would be 5.4%.

02

Conditions studied

  • Tuberculosis

Keywords

  • BCG Vaccinated
  • HIV Negative
03

In context

Tuberculosis

1,417 studies on the registry are indexed under Tuberculosis; 208 are open to participants now.

This study's enrollment of 64 is below the median of 150 across 952 interventional studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

Aeras is the lead sponsor of 22 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Male or female
  2. Age 18 through 50 years on Study Day 0
  3. Completed wriiten Informed Consent
  4. BCG vaccination at least 5 years ago,
  5. General good health, confirmed by medical history
  6. (BMI) between 19 and 33 (kg/m2)
  7. Has ability to complete follow-up period of 182 days as required
  8. Females must be physically incapable of conception
  9. Avoiding elective surgery for the duration of the study
  10. Stay in contact with the investigative site for the duration of the study
  11. Complete simultaneous enrollment in Aeras Vaccine Development Registry protocol

Exclusion criteria

Exclusion Criteria:

  1. Acute illness on the day of randomization
  2. Oral temperature >=37.5 degree Celcius on the day of randomization
  3. Evidence of significant active infection
  4. Used immunosuppressive medication within 42 days before entry into the study
  5. Received immunoglobulin or blood products within 42 days before entry into the study
  6. Received any investigational drug therapy or investigational vaccine within 182 days
  7. Received inactivated influenza vaccine or inactivated tick-borne encephalitis vaccine within 14 days before entry into the study.
  8. Current chronic drug therapy including hormone replacement such as thyroxin, insulin, etc.
  9. History or laboratory evidence of any past, present or future possible immunodeficiency state which will include any laboratory indication of virus type 1 (HIV-1) infection
  10. History of allergic disease or reactions, including eczema.
  11. Previous medical history that may compromise safety of subject
  12. Evidence of new acute illness that may compromise safety of subject
  13. Evidence of chronic hepatitis
  14. Inability to discontinue daily medication except contraception
  15. History of alcohol or drug abuse within 2yrs
  16. Tobacco or cannabis smoking three
  17. Positive urine test for illicit drugs
  18. History or evidence of any systemic disease on physical examination
  19. History of active TB
  20. Shared residence within 1 year with an individual on anti-TB treatment
  21. All females: nursing
  22. Abnormal hemoglobin,hematocrit etc drawn within 36 hours prior to randomization
  23. Laboratory test evidence of Mtb infection
  24. History of positive tuberculin skin test within past 10 years
  25. Received a tuberculin skin test within 3 years
  26. History of autoimmune disease
05

Study design

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

Study arms

  • Experimental
    AERAS-404(50mcg H4/0nmol IC31) or Placebo

    1 dose

    Biological: AERAS-404 · Biological: Placebo

  • Experimental
    AERAS404 (50mcgH4/100nmol IC31) or Placebo

    1 dose

    Biological: AERAS-404 · Biological: Placebo

  • Experimental
    AERAS404 (50mcgH4/0nmol IC31) or Placebo

    2 dose

    Biological: AERAS-404 · Biological: Placebo

  • Experimental
    AERAS404 (150mcgH4/0nmol IC31) or Placebo

    1 dose

    Biological: AERAS-404 · Biological: Placebo

  • Experimental
    AERAS404 (50mcgH4/5000nmol IC31) or Placebo

    1 dose

    Biological: AERAS-404 · Biological: Placebo

  • Experimental
    AERAS404 (50mcgH4/500nmol IC31) or Placebo

    2 dose

    Biological: AERAS-404 · Biological: Placebo

  • Experimental
    AERAS404

    2 dose placebo

    Biological: Placebo

  • Experimental
    AERAS404 (50mcg H4/100nmol IC31) or Placebo

    2 dose

    Biological: AERAS-404 · Biological: Placebo

Interventions

  • BiologicalAERAS-404

    AERAS 404 (H4:IC31) contains a fusion protein of 2 mycobacterial antigens (Ag85B and TB 10.4) formulated in IC31 adjuvant.

    Also known as: H4

  • BiologicalPlacebo

    Tris buffer saline consisting (10mM Tris and 169mM NaCI at pH7.4)

    Also known as: Tris Buffered saline

06

What researchers measure

Primary outcomes

  1. Evaluate the safety of one or two injections of two AERAS 404 antigen amounts administered with three different amounts of adjuvant

    Serious adverse events (SAE) will be collected on subjects throughout their participation in the study. Solicited and unsolicited AEs will be collected through 28 days after each vaccination.The safety profile of the different antigen/adjuvant treatment regimens will be described. Listings will be provided for all subjects with serious adverse events (SAE). All adverse events and clinically relevant laboratory results will be summarized across time points to examine the relationship between treatment regimens (i.e., number of doses and level of antigen/adjuvant) and key safety endpoints including number (percentage) of solicited and spontaneous adverse events and number (percentage) of subjects with newly abnormal post-vaccination laboratory values based on predefined toxicity criteria. Adverse events will also be summarized by severity and relationship to study vaccine by treatment regimen.

    Time frame: All subjects will be followed for safety and immunogenicity evaluations for 182 days. A total of eleven clinic visits are planned (excluding screening) for all subjects

Secondary outcomes

  1. Evaluate the immunogenicity of one or two injections of two AERAS 404 antigen amounts administered with three different amounts of adjuvant.

    Assessment of immune response will be based on the percentage of CD4 and CD8 T cells producing any of three cytokines (interferon gamma, IFN-γ; tumor necrosis factor alpha, TNF-α; and/or interleukin-2, IL-2) or any combination of these three cytokines simultaneously in response to stimulation with two the antigenic peptide pools contains 85B and TB10.4 representing the entire amino acid sequences of mycobacterial antigens Ag85B and TB10.4, respectively. Responses will be measured by flow cytometry using a qualified intracellular cytokine staining (ICS) assay

    Time frame: all subjects will have immunology samples taken at 9 time points over 182 days

07

Study locations

1 site
  • Karolinska Institutet, Karolinska University Hospital
    Huddinge, Stockholm 14186, Sweden
08

References and documents

Publications

  • Norrby M, Vesikari T, Lindqvist L, Maeurer M, Ahmed R, Mahdavifar S, Bennett S, McClain JB, Shepherd BM, Li D, Hokey DA, Kromann I, Hoff ST, Andersen P, de Visser AW, Joosten SA, Ottenhoff THM, Andersson J, Brighenti S. Safety and immunogenicity of the novel H4:IC31 tuberculosis vaccine candidate in BCG-vaccinated adults: Two phase I dose escalation trials. Vaccine. 2017 Mar 14;35(12):1652-1661. doi: 10.1016/j.vaccine.2017.01.055. Epub 2017 Feb 17. PubMed 28216183 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2014, 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
NCT02066428
Lead sponsor
Aeras
Collaborators
Statens Serum Institut
Responsible party
Sponsor
First posted
Feb 19, 2014
Start date
Nov 2007
Primary completion
May 2009
Completion
May 2009
Last update
Feb 19, 2014

Study contacts

Zhongkai SHI, MD
study director · Aeras
Jan Andersson, MD
principal investigator · Karolinska Institutet

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.

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