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TerminatedNCT03146403Updated Feb 19, 2019Results posted

Maintenance Dose Study of GEN-003 in Subjects With Genital Herpes Infection

A Phase 2 interventional study of GEN-003 and Matrix-M2 in Genital Herpes and HSV-2 Infection, sponsored by Genocea Biosciences, Inc.. Terminated at 8 sites in United States. Per ClinicalTrials.gov, last updated 2019-02-19.

Sponsored by Genocea Biosciences, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
2017 business decision to cease GEN-003 spending.
Phase
Phase 2
Study type
Interventional
Enrollment
33
Allocation
Randomized
Sex
All
01

Study summary

The main purpose of this clinical study is to see if a maintenance dose of GEN-003 reduces the number of days that subjects have a genital herpes recurrence. The second purpose of the study is to evaluate the safety and tolerability of a maintenance dose of GEN-003.

Read the detailed description

This study is a randomized, double-blind, placebo-controlled clinical trial of GEN-003 in subjects who have received previous doses of GEN-003 in the GEN-003-003 clinical trial. Eligible subjects will be randomized in a 1:1 ratio to receive 1 intramuscular (IM) dose (the maintenance dose) of GEN-003 or placebo.

Subjects will use a daily electronic reporting tool for reporting the presence or absence of genital herpes lesions, and severity of genital herpes symptoms.

GEN-003-005 was originally designed to follow subjects for 12 months after the maintenance dose but a business decision, unrelated to product safety, was made by Genocea Biosciences in 3Q2017 to cease GEN-003 spending and activities.

02

Conditions studied

  • Genital Herpes
  • HSV-2 Infection

Keywords

  • HSV
  • Herpes
  • Genital Herpes
  • Vaccine
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 33 is below the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Genocea Biosciences, Inc. is the lead sponsor of 10 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
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Completed Study GEN-003-003
  • Received all 3 GEN-003 doses (any dose combination) in Study GEN-003-003
  • Received last dose of GEN-003 within 11 to 18 months prior
  • Reported data in the daily electronic reporting period on at least 80% of days in Study GEN-003-003
  • Collected at least 45 swabs (of 56 total expected swabs) during the Month 11 to 12 swab collection period in Study GEN-003-003
  • Willing and able to provide written informed consent
  • Willing to perform and comply with all study procedures
  • Postmenopausal or willing to practice a highly effective method of contraception for 28 days before and 90 days after enrollment

Exclusion criteria

Exclusion Criteria:

  • Did not meet all eligibility criteria in Study GEN-003-003, or received incorrect treatment in Study GEN-003-003
  • Use of suppressive antiviral medication within 14 days prior
  • Use of topical steroids or antiviral medication in the anogenital region within 14 days prior
  • Use of tenofovir, lysine, or other medication or supplement known or purported to affect HSV recurrence frequency or intensity within 14 days prior
  • History of any form of ocular HSV infection, HSV-related erythema multiforme, or herpes meningitis or encephalitis
  • Immunocompromised individuals
  • Diagnosis or suspicion of an AESI
  • Diagnosis or suspicion of any other autoimmune disease not listed in Appendix 4 of the protocol
  • Vaccine-related SAE in GEN-003-003
  • Known current infection with HIV or hepatitis B or C virus
  • History of hypersensitivity to any component of the vaccine
  • Prior receipt of another vaccine containing HSV-2 antigens other than GEN-003
  • Receipt of any IP within 30 days prior to the maintenance dose of GEN-003/placebo
  • Receipt of any blood product within 90 days prior to the maintenance dose
  • Receipt of a live vaccine within 28 days prior to or any other vaccine within 14 days prior to maintenance dose
  • Planned use of any vaccine from the maintenance dose to 28 days after the maintenance dose
  • Pregnant or nursing women
  • History of drug or alcohol abuse
  • Other active, uncontrolled comorbidities
  • Changes to medication used to manage an underlying comorbidity within 60 days prior
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Study design

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

Study arms

  • Experimental
    GEN-003

    60μg of each GEN-003 antigen with 50μg Matrix-M2 adjuvant, administered as a 0.5mL intramuscular (IM) injection

    Biological: GEN-003 · Biological: Matrix-M2

  • Placebo comparator
    Placebo

    0.9% normal saline administered as a 0.5mL intramuscular (IM) injection

    Other: 0.9% normal saline

Interventions

  • BiologicalGEN-003

    HSV-2 protein subunit vaccine consisting of 2 recombinant T cell antigens: internal fragment of the immediate early (IE) protein ICP4 and glycoprotein D

    Also known as: HSV Therapeutic Vaccine

  • BiologicalMatrix-M2

    Matrix-M2 is derived from fractionated Quillaja saponins, phosphatidylcholine, and cholesterol.

    Also known as: Adjuvant

  • Other0.9% normal saline

    Placebo

06

What researchers measure

Primary outcomes

  1. Percentage of Days With Genital Herpes Lesions

    Subject-reported via electronic diary

    Time frame: The 6-month period after vaccination

Secondary outcomes

  1. Number of Genital Herpes Recurrences

    Subject-reported via electronic diary

    Time frame: The 6-month period after vaccination

  2. Number of Subjects Without Genital Herpes Recurrence

    Subject-reported via electronic diary

    Time frame: 6 months after vaccination

  3. Days Until First Genital Herpes Recurrence

    Subject-reported via electronic diary

    Time frame: The 6-month period after vaccination

  4. Duration of Genital Herpes Recurrences

    Time in days per genital herpes recurrence

    Time frame: The 6-month period after vaccination

07

Results

Posted Feb 19, 2019
Limitations and caveats
Small numbers of enrolled subjects likely led to a lack of statistical power. After a 2017 business decision to cease GEN-003 spending, the outcome measures were reduced to 6 months of follow up, rather than the originally planned 12 months.

Participant flow

Participant flow — Overall Study
MilestoneGEN-003Placebo
Started1617
Completed1414
Not completed23
Withdrew: Withdrawal by subject03
Withdrew: Lost to follow-up20

Outcome measures

PrimaryPercentage of Days With Genital Herpes Lesions

Subject-reported via electronic diary

Time frame:
The 6-month period after vaccination
Reported as:
Median · percentage of days
Percentage of Days With Genital Herpes Lesions
percentage of daysGEN-003Placebo
Percentage of Days With Genital Herpes Lesions2.58 (0.0 to 21.8)4.23 (0.0 to 13.5)
Statistical analysis
  • GEN-003 vs Placebo · Wilcoxon (Mann-Whitney) · p = 0.7474
SecondaryNumber of Genital Herpes Recurrences

Subject-reported via electronic diary

Time frame:
The 6-month period after vaccination
Reported as:
Median · recurrences
Number of Genital Herpes Recurrences
recurrencesGEN-003Placebo
Number of Genital Herpes Recurrences1.50 (0.0 to 6.0)1.50 (0.0 to 9.0)
Statistical analysis
  • GEN-003 vs Placebo · Wilcoxon (Mann-Whitney) · p = 0.6450
SecondaryNumber of Subjects Without Genital Herpes Recurrence

Subject-reported via electronic diary

Time frame:
6 months after vaccination
Reported as:
Count of participants · Participants
Number of Subjects Without Genital Herpes Recurrence
ParticipantsGEN-003Placebo
No Recurrence13
With Recurrence1312
Unknown21
Statistical analysis
  • GEN-003 vs Placebo · Chi-squared · p = 0.3157
SecondaryDays Until First Genital Herpes Recurrence

Subject-reported via electronic diary

Time frame:
The 6-month period after vaccination
Reported as:
Median · days
Days Until First Genital Herpes Recurrence
daysGEN-003Placebo
Days Until First Genital Herpes Recurrence25 (6.0 to 85.0)51 (17.0 to 116.0)
Statistical analysis
  • GEN-003 vs Placebo · Log Rank · p = 0.3869
SecondaryDuration of Genital Herpes Recurrences

Time in days per genital herpes recurrence

Time frame:
The 6-month period after vaccination
Reported as:
Median · days
Duration of Genital Herpes Recurrences
daysGEN-003Placebo
Duration of Genital Herpes Recurrences2.83 (1 to 7)3.40 (1 to 6)
Statistical analysis
  • GEN-003 vs Placebo · Wilcoxon (Mann-Whitney) · p = 0.2200

Adverse events

Collected over Local reactions and systemic events were systematically collected for 7 days after the maintenance dose. AEs were recorded for 12 months of followup after the maintenance dose administration.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
GEN-0030/16 (0%)0/16 (0%)16/16 (100%)
Placebo0/17 (0%)0/17 (0%)10/17 (58.8%)
Most frequent other events
Showing 10 of 16
Most frequent other events
EventGEN-003Placebo
Injection Site PainGeneral disorders15/163/16
Injection Site TendernessGeneral disorders15/167/16
Muscle AchesMusculoskeletal and connective tissue disorders15/162/16
FatigueGeneral disorders14/165/16
Injection Site SwellingGeneral disorders13/163/16
HeadacheNervous system disorders13/167/16
ChillsGeneral disorders10/161/16
NauseaGastrointestinal disorders6/161/16
Injection Site RednessGeneral disorders5/162/16
FeverGeneral disorders3/160/16

Baseline characteristics

Age, Continuous
Age, Continuous(years)GEN-003PlaceboTotal
Mean39.9 (27 to 50)40.2 (30 to 52)40.1 (27 to 52)
Sex: Female, Male
Sex: Female, Male(Participants)GEN-003PlaceboTotal
Female111223
Male5510
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)GEN-003PlaceboTotal
Hispanic or Latino213
Not Hispanic or Latino141630
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)GEN-003PlaceboTotal
American Indian or Alaska Native000
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American5712
White11819
More than one race000
Unknown or Not Reported011
Region of Enrollment
Region of Enrollment(participants)GEN-003PlaceboTotal
United States161733
Weight
Weight(kilograms)GEN-003PlaceboTotal
Mean82.34 (54.0 to 140.5)79.20 (53.5 to 119.3)80.72 (53.5 to 140.5)
08

Study locations

8 sites
  • University of Alabama Birmingham
    Birmingham, Alabama 35294, United States
  • Medical Center for Clinical Research
    San Diego, California 92108, United States
  • Optimus Medical Group
    San Francisco, California 94102, United States
  • UNC Health
    Chapel Hill, North Carolina 27599, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
  • NW Dermatology and Research Clinic
    Portland, Oregon 97210, United States
  • Tekton Research
    Austin, Texas 78745, United States
  • University of Washington
    Seattle, Washington 98104, United States
09

References and documents

Study documents

  • Study protocol · Oct 13, 2017
  • Statistical analysis plan · Feb 7, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2019, 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
NCT03146403
Lead sponsor
Genocea Biosciences, Inc.
Responsible party
Sponsor
First posted
May 9, 2017
Start date
May 24, 2017
Primary completion
Dec 22, 2017
Completion
Jun 11, 2018
Results posted
Feb 19, 2019
Last update
Feb 19, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

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