ClinicalTrials.gg
CompletedNCT02465216Updated Mar 12, 2019Results posted

Phase 2a ID93 + GLA-SE Vaccine Trial in TB Patients After Treatment Completion

A Phase 2 interventional study of Placebo and ID93 + GLA-SE in Pulmonary Tuberculosis, sponsored by Access to Advanced Health Institute (AAHI). Completed at 3 sites in South Africa. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2019-03-12.

Sponsored by Access to Advanced Health Institute (AAHI) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and immunogenicity of ID93 + GLA-SE vaccine when administered to adult pulmonary Tuberculosis (TB) patients, following successful completion of TB treatment with confirmed bacteriologic cure, in preparation for a future Phase 2b prevention of TB recurrence trial in the same population.

02

Conditions studied

  • Pulmonary Tuberculosis

Keywords

  • Tuberculosis
  • TB
  • Pulmonary
  • Vaccine
  • Adjuvant
03

In context

Tuberculosis, Pulmonary

319 studies on the registry are indexed under Tuberculosis, Pulmonary; 71 are open to participants now.

This study's enrollment of 60 is below the median of 146 across 227 interventional studies indexed under Tuberculosis, Pulmonary.

Browse Tuberculosis, Pulmonary studies →

Lead sponsor

Access to Advanced Health Institute (AAHI) is the lead sponsor of 16 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. Males and females 18 to 60 years of age.
  2. Subjects must have been successfully treated, i.e., completed the scheduled course of TB treatment as per the prevailing South African national guidelines, for MTB culture-confirmed, drug sensitive pulmonary TB, as evidenced by a record of positive liquid MTB culture with formal drug sensitivity testing (DST) and/or by Xpert MTB/RIF test at baseline.
  3. Must have two separate samples showing bacteriologic confirmation of cure - defined in the first instance as Xpert MTB/RIF test negative, or, if Xpert MTB/RIF positive, as MTB liquid culture negative - on two successive occasions at least 30 days apart. Subjects who are sputum unproductive will be deemed Xpert MTB/RIF and MTB liquid culture negative.
  4. Female subjects of must have a negative serum pregnancy test at screening and a negative urine pregnancy test on the day of each study injection, must not be breast-feeding, and be willing to avoid pregnancy for 3 months following first study injection. 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, sexual abstinence (not engaging in sexual intercourse), hormonal (oral, injection, transdermal patch, or implant), vaginal ring, intrauterine device (IUD), or the combination of a condom or diaphragm with spermicide gel.
  5. The following screening laboratory values must be within the laboratory reference range or, if abnormal, deemed not and less than Grade 2 severity on the FDA Toxicity Scale, as determined by the PI and LMM or Sponsor Medical Advisor: , AST, total , creatinine, total WBC count, , and count.
  6. The 1/2 antibody serology tests must be negative.
  7. Must give , be able and willing to make all evaluation visits, be reachable by telephone or personal contact by the study site personnel, and be willing to remain in the study area for the duration of the trial.

Exclusion criteria

Exclusion Criteria:

  1. TB treatment failure, as evidenced by clinical diagnosis or a positive MTB liquid culture at month 4 or 5 after starting treatment. A positive MTB liquid culture at, or after, end of treatment would exclude subjects from receiving further study injections.
  2. Previous course of TB treatment completed within 5 calendar years prior to obtaining baseline diagnostic sputum samples.
  3. Receipt of any products or investigational drug in the past 6 months or investigational vaccine ever.
  4. Treatment with drugs (e.g., oral or injected , such as prednisone; high dose inhaled steroids) in the past 6 months. Topical steroids would be allowable.
  5. Received incomplete or investigational, or non-standard TB drug regimen, other than the prevailing current South African national guideline as reference standard, or poor adherence to TB treatment regimen.
  6. Diagnosed with rifampicin-resistant MTB strain (by Xpert MTB/RIF and/or culture and formal DST).
  7. History of disease or other causes of immunosuppressive states.
  8. History or evidence of any acute or chronic illness (including diabetes mellitus, asthma), medical or surgical condition, or chronic heavy ethanol or drug use, or use of medication that, in the opinion of the Principal Investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine.
  9. Subjects with a history of previous anaphylaxis or severe allergic reaction to vaccines, eggs, or unknown allergens.
  10. Subjects who are unlikely to cooperate with the requirements of the study protocol.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    2 mcg ID93 + 2 mcg GLA-SE Vaccine

    Two intramuscular injections of ID93 + GLA-SE at Days 0 and 56. Low dose of antigen and low dose of adjuvant.

    Biological: ID93 + GLA-SE

  • Experimental
    10 mcg ID93 + 2 mcg GLA-SE Vaccine

    Two intramuscular injections of ID93 + GLA-SE at Days 0 and 56. High dose of antigen and low dose of adjuvant.

    Biological: ID93 + GLA-SE

  • Experimental
    2 mcg ID93 + 5 mcg GLA-SE Vaccine

    Two intramuscular injections of ID93 + GLA-SE at Days 0 and 56. Low dose of antigen and high dose of adjuvant. Placebo injection at Day 28 to maintain blind with the 3 dose arm.

    Biological: ID93 + GLA-SE

  • Placebo comparator
    Placebo

    Two intramuscular injections of normal saline at Days 0 and 56, or Days 0, 28, and 56.

    Other: Placebo

  • Experimental
    2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 doses

    Three intramuscular injections of ID93 + GLA-SE at Days 0, 28, and 56. Low dose of antigen and high dose of adjuvant.

    Biological: ID93 + GLA-SE

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Adverse Events

    Safety outcomes will include solicited adverse events within 7 days and unsolicited adverse events within 28 days after each study injection; and serious adverse events after the first study injection until end of study follow-up.

    Time frame: 224 days

Secondary outcomes

  1. Immunogenicity Responder Rate

    Immunogenicity will be evaluated by measuring humoral and cellular responses to ID93 + GLA-SE at Day 70.

    Time frame: Day 70

07

Results

Posted Nov 9, 2018

Participant flow

Participant flow — Overall Study
Milestone2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlacebo
Started155141412
Completed12513129
Not completed30123

Outcome measures

PrimaryNumber of Adverse Events

Safety outcomes will include solicited adverse events within 7 days and unsolicited adverse events within 28 days after each study injection; and serious adverse events after the first study injection until end of study follow-up.

Time frame:
224 days
Reported as:
Number · participants
Number of Adverse Events
participants2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlacebo
Local Injection Site Reactions541083
Solicited Systemic Reactions10110
Any Adverse Event12513129
Serious Adverse Events00002
SecondaryImmunogenicity Responder Rate

Immunogenicity will be evaluated by measuring humoral and cellular responses to ID93 + GLA-SE at Day 70.

Time frame:
Day 70
Reported as:
Count of participants · Participants
Immunogenicity Responder Rate
Participants2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlacebo
IgG antibody responder rate12513110
CD4 T cell responder rate (whole antigen stim)421011

Adverse events

Collected over 224 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
2 mcg ID93 + 2 mcg GLA-SE Vaccine0/15 (0%)0/15 (0%)12/15 (80%)
10 mcg ID93 + 2 mcg GLA-SE Vaccine0/5 (0%)0/5 (0%)5/5 (100%)
2 mcg ID93 + 5 mcg GLA-SE Vaccine0/14 (0%)0/14 (0%)13/14 (92.9%)
2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 Doses0/14 (0%)0/14 (0%)12/14 (85.7%)
Placebo1/12 (8.3%)2/12 (16.7%)9/12 (75%)
Most frequent serious events
Most frequent serious events
Event2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlacebo
Chest wall tumourNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/150/50/140/141/12
Delirium tremensPsychiatric disorders0/150/50/140/141/12
Most frequent other events
Showing 10 of 13
Most frequent other events
Event2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlacebo
Injection site painGeneral disorders5/154/510/147/143/12
HeadacheNervous system disorders1/152/51/140/143/12
Injection site erythemaGeneral disorders0/150/54/141/140/12
URTIInfections and infestations3/151/53/141/143/12
Injection site indurationGeneral disorders1/150/53/143/140/12
ALT increasedInvestigations2/150/51/143/142/12
TonsilitisInfections and infestations0/150/53/140/140/12
Haemoglobin decreasedInvestigations1/151/51/140/140/12
WBC count decreasedInvestigations0/151/52/142/140/12
Nasal congestionRespiratory, thoracic and mediastinal disorders0/151/52/140/140/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlaceboTotal
<=18 years000000
Between 18 and 65 years15514141260
>=65 years000000
Sex: Female, Male
Sex: Female, Male(Participants)2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlaceboTotal
Female11372427
Male42712833
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlaceboTotal
African Mixed Race101117837
Black African5437423
Region of Enrollment
Region of Enrollment(Participants)2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlaceboTotal
South Africa15514141260
BMI
BMI(kg/m^2)2 mcg ID93 + 2 mcg GLA-SE Vaccine10 mcg ID93 + 2 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine2 mcg ID93 + 5 mcg GLA-SE Vaccine 3 DosesPlaceboTotal
Mean20.6 ± 2.3222.8 ± 5.419.6 ± 2.3821.4 ± 4.9221.4 ± 1.9420.9 ± 3.39
08

Study locations

3 sites
  • TASK Applied Sciences
    Cape Town, 7530, South Africa
  • Desmond Tutu HIV Centre (DTHC)
    Cape Town, 7750, South Africa
  • South African Tuberculosis Vaccine Initiative (SATVI)
    Worcester, 6850, South Africa
09

References and documents

Publications

  • Day TA, Penn-Nicholson A, Luabeya AKK, Fiore-Gartland A, Du Plessis N, Loxton AG, Vergara J, Rolf TA, Reid TD, Toefy A, Shenje J, Geldenhuys H, Tameris M, Mabwe S, Bilek N, Bekker LG, Diacon A, Walzl G, Ashman J, Frevol A, Sagawa ZK, Lindestam Arlehamn C, Sette A, Reed SG, Coler RN, Scriba TJ, Hatherill M; TBVPX-203 study team. Safety and immunogenicity of the adjunct therapeutic vaccine ID93 + GLA-SE in adults who have completed treatment for tuberculosis: a randomised, double-blind, placebo-controlled, phase 2a trial. Lancet Respir Med. 2021 Apr;9(4):373-386. doi: 10.1016/S2213-2600(20)30319-2. Epub 2020 Dec 8. Erratum In: Lancet Respir Med. 2021 Jul;9(7):e62. doi: 10.1016/S2213-2600(21)00281-2. PubMed 33306991 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2015, a primary completion of Jan 2017 and a completion of Jan 2017. It does not say whether these dates are actual or estimated.

Results were first posted in Nov 2018, 1 year 10 months after primary completion.

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

Registered
Jun 3, 2015
First posted
Jun 8, 2015
Start
Jun 2015
Primary completionActual
Jan 2017
CompletionActual
Jan 2017
Results first posted
Nov 9, 2018
Last update
Mar 12, 2019
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 Mar 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02465216
Lead sponsor
Access to Advanced Health Institute (AAHI)
Collaborators
Wellcome Trust, South African Tuberculosis Vaccine Initiative
Responsible party
Sponsor
First posted
Jun 8, 2015
Start date
Jun 2015
Primary completion
Jan 2017
Completion
Jan 2017
Results posted
Nov 9, 2018
Last update
Mar 12, 2019

Study contacts

Mark Hatherill, MD
principal investigator · South African Tuberculosis Vaccine Initiative

Oversight

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

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Studies of the drugs tested here: ID93 · TLR4 Agonist G100

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