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CompletedNCT02375698C-037-456Updated Jul 30, 2024Results posted

A Phase I Study of Safety & Immunogenicity of AERAS-456 in HIV-Neg. Adults Treated for Drug-susceptible Pulmonary TB

A Phase 1 interventional study of H56:IC31 and Placebo in Tuberculosis, sponsored by Aeras. Completed at 3 sites in South Africa. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-07-30.

Sponsored by Aeras · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This is a Phase I, double-blind, randomized, placebo-controlled safety and immunogenicity study in adults who have recently been successfully treated for drug-susceptible pulmonary Tuberculosis (TB). The safety and immunogenicity profile of escalating doses of AERAS-456 in HIV-negative subjects recently treated for drug-susceptible pulmonary TB will be investigated. The study will be conducted at three sites in South Africa.

Read the detailed description

This study will be the first evaluation of AERAS-456 in subjects who have completed a full course of treatment prescribed for pulmonary TB. Subjects will begin screening for study participation when they have completed 4 calendar months of TB treatment. Subjects meeting the inclusion/exclusion criteria will be randomized within a study group in a 3:1 ratio (N=18 AERAS-456; N=6 placebo) to receive two 0.5 mL intramuscular injections of AERAS-456 or placebo eight weeks apart, on Study Day 0 and Study Day 56.

02

Conditions studied

  • Tuberculosis

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03

In context

Tuberculosis

1,435 studies on the registry are indexed under Tuberculosis; 208 are open to participants now.

This study's enrollment of 22 is below the median of 150 across 963 interventional studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

Aeras is the lead sponsor of 23 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 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Is HIV-negative.
  2. Is male or female aged 18 through 60 years on Study Day 0.
  3. Has completed the written informed consent process.
  4. Has a diagnosis of confirmed pulmonary tuberculosis and is on standard TB treatment.
  5. Is confirmed to be Mtb negative by either 2 GeneXpert tests or 2 cultures from sputum samples taken on 2 different days at least 1 week apart, the first after at least 4 calendar months of TB treatment and the second day not later than after 5 calendar months (with a window of plus 1 week) of treatment.
  6. Agrees to complete the prescribed course of TB treatment (completion of TB treatment can occur after vaccination on Study Day 0; subject must have completed at least 5 calendar months of TB treatment on Study Day 0; if TB treatment is completed before randomization/vaccination then the time from completion of TB treatment to randomization/vaccination should not exceed 28 days).
  7. For female subjects: agrees to avoid pregnancy between screening and up until two months after last vaccination. 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 from 28 days prior to administration of study vaccine up until two months after the last vaccination. Acceptable methods of avoiding pregnancy include a sterile sexual partner, sexual abstinence (not engaging in sexual intercourse), hormonal contraceptives (oral, injection, transdermal patch, or implant), vaginal ring, or intrauterine device (IUD).
  8. Agrees to stay in contact with the study site for the full duration of the study, providing updated contact information as necessary, and has no current plans to move from the study area during the duration of the study.

Exclusion criteria

Exclusion Criteria:

  1. Evidence of a new acute illness that may compromise the safety of the subject in the study on Study Day 0.
  2. History of TB prior to current episode.
  3. TB meningitis or other forms of severe TB with high risk of a poor outcome.
  4. Previous medical history that may compromise the safety of the subject in the study, including but not limited to severe impairment of pulmonary function from tuberculosis infection or other pulmonary disease; chronic illness with signs of cardiac or renal failure; suspected progressive neurological disease; or uncontrolled epilepsy.
  5. Evidence of any systemic disease or any acute or chronic illness that may interfere with the evaluation of the safety of the vaccine.
  6. History or laboratory evidence of any possible immunodeficiency state.
  7. History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine.
  8. Received any non-BCG TB vaccine previously.
  9. For female subjects: Currently pregnant, lactating/nursing, or a positive urine HCG.
  10. Severe anemia, defined as hemoglobin less than 10 g/dL or a hematocrit less than 30 percent based on screening hematology obtained within 7 days before randomization on Study Day 0.
  11. History of autoimmune disease or immunosuppression.
  12. Used immunosuppressive medication within 42 days before Study Day 0 (inhaled and topical corticosteroids are permitted).
  13. Received immunoglobulin or blood products within 42 days before Study Day 0.
  14. Received any investigational drug therapy or investigational vaccine within 6 months before Study Day 0, or planned participation in any other investigational study during the study period.
  15. Received any licensed vaccine within 28 days before Study Day 0, or receipt of any vaccine or immunomodulating agent through Study Day 63.
  16. Is, in the judgment of the principal investigator, not suitable to participate in this clinical study.
05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Gr 1 H56:IC31 5/500

    5ug H56 + 500 ug IC31

    Biological: H56:IC31

  • Placebo comparator
    Placebo

    The placebo consists of 10mM Tris and 169 mM NaCl pH 7.4.

    Biological: Placebo

Interventions

  • BiologicalH56:IC31

    H56:IC31 contains a fusion protein (referred to as H56 antigen, or H56) of 3 mycobacterial antigens (the early secreted antigens Ag85B and ESAT-6, and the latency antigen Rv2660c).

    Also known as: AERAS-456

  • BiologicalPlacebo

    The placebo consists of 10mM Tris and 169 mM NaCl pH 7.4.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Unsolicited AEs: 28 days after each vaccination Solicited AEs: 7 days after each vaccination SAEs: through Day 420 Adverse events of special interest: through Day 420

    Time frame: Day 0 to Day 420

Secondary outcomes

  1. Mean Percent Change From Baseline of Participants' Responses to TB Antigens Ag85A and ESAT-6

    13-Color PBMC Intracellular Cytokine Staining (ICS) Assay using PBMCs Percent Antigen-specific T Cell DMSO-subtracted, ANY Cytokine Response - Change from Baseline T Cell: CD4

    Time frame: Day 224

07

Results

Posted Nov 18, 2019

Participant flow

Participant flow — Overall Study
MilestoneH56:IC31 5/500Placebo
Started166
Completed144
Not completed22
Withdrew: Withdrawal by subject02
Withdrew: Physician decision20

Outcome measures

PrimaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

Unsolicited AEs: 28 days after each vaccination Solicited AEs: 7 days after each vaccination SAEs: through Day 420 Adverse events of special interest: through Day 420

Time frame:
Day 0 to Day 420
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
ParticipantsH56:IC31 5/500Placebo
Participants with any AE146
Participants with SAEs00
SecondaryMean Percent Change From Baseline of Participants' Responses to TB Antigens Ag85A and ESAT-6

13-Color PBMC Intracellular Cytokine Staining (ICS) Assay using PBMCs Percent Antigen-specific T Cell DMSO-subtracted, ANY Cytokine Response - Change from Baseline T Cell: CD4

Time frame:
Day 224
Reported as:
Mean · Percent change from baseline
Mean Percent Change From Baseline of Participants' Responses to TB Antigens Ag85A and ESAT-6
Percent change from baselineH56:IC31 5/500Placebo
Stimulation Ag: Ag85B0.014 ± 0.0375-0.029 ± 0.0405
Stimulation Ag: ESAT-60.026 ± 0.0384-0.018 ± 0.0037

Adverse events

Collected over Unsolicited AEs: for 28 days after each vaccination. Solicited AEs: for 7 days after each vaccination (with diary cards). SAEs: for entire study period (i.e., Study Days 0 to 420). Adverse events of special interest: for entire study period (i.e., Study Days 0 to 420).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Gr 1 H56:IC31 5/5000/16 (0%)0/16 (0%)14/16 (87.5%)
Placebo0/6 (0%)0/6 (0%)6/6 (100%)
Most frequent other events
Showing 10 of 33
Most frequent other events
EventGr 1 H56:IC31 5/500Placebo
BRADYCARDIACardiac disorders4/163/6
FATIGUEGeneral disorders4/163/6
INJECTION SITE PAINGeneral disorders6/160/6
GAMMA-GLUTAMYLTRANSFERASE INCREASEDInvestigations4/162/6
ASPARTATE AMINOTRANSFERASE INCREASEDInvestigations5/160/6
BLOOD PRESSURE DIASTOLIC INCREASEDInvestigations5/160/6
INJECTION SITE SWELLINGGeneral disorders4/160/6
ALANINE AMINOTRANSFERASE INCREASEDInvestigations4/161/6
INJECTION SITE ERYTHEMAGeneral disorders3/160/6
HAEMOGLOBIN DECREASEDInvestigations3/160/6

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)H56:IC31 5/500PlaceboTotal
<=18 years000
Between 18 and 65 years16622
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)H56:IC31 5/500PlaceboTotal
Female314
Male13518
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)H56:IC31 5/500PlaceboTotal
Hispanic or Latino000
Not Hispanic or Latino16622
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)H56:IC31 5/500PlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American8513
White000
More than one race819
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)H56:IC31 5/500PlaceboTotal
South Africa16622
08

Study locations

3 sites
  • Task Clinical Research Centre
    Bellville, Cape Town, South Africa
  • University of Cape Town Lung Institute
    Mowbray, Cape Town, South Africa
  • The Aurum Institue
    Johannesburg, South Africa
09

References and documents

Publications

  • Tait D, Diacon A, Borges AH, van Brakel E, Hokey D, Rutkowski KT, Hunt DJ, Russell M, Andersen PL, Kromann I, Ruhwald M, Churchyard G, Dawson R. Safety and Immunogenicity of the H56:IC31 Tuberculosis Vaccine Candidate in Adults Successfully Treated for Drug-Susceptible Pulmonary Tuberculosis: A Phase 1 Randomized Trial. J Infect Dis. 2024 Nov 15;230(5):1262-1270. doi: 10.1093/infdis/jiae170. PubMed 38557639 ↗

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2014 to primary completion in Jun 2016, 19 months.

Results were first posted in Nov 2019, 3 years 4 months after primary completion.

Of 46 non-industry phase 1 interventional studies under Tuberculosis, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 30. This study's 19 months is above that.

Counting every sponsor, half of 64 studies reached it within 13 months; a quarter within 3 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 20, 2015
First posted
Mar 3, 2015
StartActual
Nov 21, 2014
Primary completionActual
Jun 24, 2016
CompletionActual
Oct 24, 2016
Results first posted
Nov 18, 2019
Last update
Jul 30, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02375698
Lead sponsor
Aeras
Collaborators
Statens Serum Institut
Responsible party
Sponsor
First posted
Mar 3, 2015
Start date
Nov 21, 2014
Primary completion
Jun 24, 2016
Completion
Oct 24, 2016
Results posted
Nov 18, 2019
Last update
Jul 30, 2024

Study contacts

Dereck Tait, MBChB
study director · Aeras

Oversight

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

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This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: H56

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