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CompletedNCT03255278GamTBvacUpdated Dec 27, 2017

Evaluation of the Safety and Immunogenicity of the Recombinant Subunit Vaccine "GamTBvac" Against the Tuberculosis.

A Phase 1 interventional study of Single GamTBvac vaccination (0.25 dose) and Placebo administration in Tuberculosis, sponsored by Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation. Completed at 1 site in Russian Federation. Open to participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-12-27.

Sponsored by Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 49 Years
Sex
All
01

Study summary

The study is aimed to evaluate the safety and immunogenicity of the medicinal product "GamTBvac" - a recombinant subunit vaccine against the tuberculosis. The study is designed as a comparative placebo-controlled study with a two-fold increase of an applied dose among healthy volunteers aged 18-49 years.

Read the detailed description

The clinical trial study of the "GamTBvac" vaccine against the tuberculosis is a comparative placebo-controlled study with a two-fold increase of an applied dose among healthy volunteers aged 18-49 years. The product "GamTBvac" is a lyophilized substance consisted of the purified recombinant subunit antigens of Mycobacterium tuberculosis, that is applied for the preparing of the solution for a subcutaneous administration. Currently the study is at the first phase.

The aims of the study are: a) to confirm the safety of the product in the healthy volunteers; b) to select the optimal administration dose; c) to evaluate of the immunogenicity of the vaccine; d) to investigate the immune cell memory as a response to the vaccination.

The total number of the volunteers in the study is 60:

  1. at the first stage to estimate the safety and portable of the vaccine, two groups of volunteers each includes 12 persons got the single decreased dose (0.25 of the planned dose for regular administration) of the vaccine (the first group, 12 persons), and the 0.5 ml of the placebo (the second group, 12 persons);
  2. at the second stage to select the optimal dose and the scheme of the vaccine administration, additionally three groups, each consist of 12 persons of volunteers will be recruited. The first group will get double vaccination of a decreased dose (0.25 of the regular dose), the second group will get the double vaccination of a mean dose (0.5 of the regular dose), and the third one will get the double vaccination of the maximum (1.0 regular) dose.

The inclusion criteria for the volunteers of the study are: healthy males either females aged 18-49 years who have previously got the BCG vaccine. The exclusion criterion is the presence of the latent tuberculosis in the patient that is confirmed during the preliminary laboratory screening.

02

Conditions studied

  • Tuberculosis

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Keywords

  • Tuberculosis
  • Recombinant vaccine
  • Mycobacterium tuberculosis
03

Who can participate

Ages eligible
18 Years to 49 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • lack of the latent tuberculosis, laboratory confirmed
  • BCG vaccination in the past
  • signed informed consent

Exclusion criteria

Exclusion Criteria:

  • presence of the latent tuberculosis, laboratory confirmed
04

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
Single (Participant)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Safety and portable study group

    12 persons who have got a single decreased dose (0.25 of the planned dose for regular administration) of the GamTBvac recombinant subunit vaccine. The intervention for the Arm: single GamTBvac vaccination (0.25 dose).

    Biological: Single GamTBvac vaccination (0.25 dose)

  • Placebo comparator
    Placebo safety study group

    12 persons who have got a single dose of placebo (0.5 ml). The intervention for the Arm: Placebo administration (0.5 ml)

    Biological: Placebo administration

  • Experimental
    Immunogenicity study group #1

    12 persons who will get a double sequential administration of the decreased dose (0.25 of the planned dose for regular applying) of the GamTBvac recombinant subunit vaccine. The intervention for the Arm: double GamTBvac vaccination (0.25 dose).

    Biological: Double GamTBvac vaccination (0.25 dose)

  • Experimental
    Immunogenicity study group #2

    12 persons who will get a double sequential administration of the mean dose (0.5 of the planned dose for regular applying) of the GamTBvac recombinant subunit vaccine. The intervention for the Arm: double GamTBvac vaccination (0.5 dose).

    Biological: Double GamTBvac vaccination (0.5 dose)

  • Experimental
    Immunogenicity study group #3

    12 persons who will get a double sequential administration of the maximum (regular) dose of the GamTBvac recombinant subunit vaccine. The intervention for the Arm: double GamTBvac vaccination (1.0 dose).

    Biological: Double GamTBvac vaccination (1.0 dose)

Interventions

  • BiologicalSingle GamTBvac vaccination (0.25 dose)

    Single administration of the decreased dose of vaccine (0.25 of regular dose) to evaluate the safety.

  • BiologicalPlacebo administration

    Single administration of the placebo (0.5 ml) to a placebo safety study group (Arm 2).

  • BiologicalDouble GamTBvac vaccination (0.25 dose)

    Double sequential administration of the decreased dose of vaccine (0.25 of regular dose) to evaluate the immunogenicity.

  • BiologicalDouble GamTBvac vaccination (0.5 dose)

    Double sequential administration of the mean dose of vaccine (0.5 of regular dose) to evaluate the immunogenicity.

  • BiologicalDouble GamTBvac vaccination (1.0 dose)

    Double sequential administration of the regular dose of vaccine to evaluate the immunogenicity.

05

What researchers measure

Primary outcomes

  1. The number and severity of adverse effects

    Safety control: an active periodical examination of the health status of volunteers, including vital indicators, instrumental tests (ECG), laboratory blood and urine analysis (general and biochemistry). The presence, nature and severity of local and systemic reactions in different groups of volunteers, depending on the dose of vaccination, will be taken into account.

    Time frame: 140 Days

Secondary outcomes

  1. immunogenicity control

    Qualitative ELISA test for specific IgG antibodies, study of the stimulated T-cell

    Time frame: 140 Days

06

Study locations

1 site
  • Sechenov First Moscow State Medical University
    Moscow, 119435, Russian Federation
07

References and documents

Publications

  • Tkachuk AP, Gushchin VA, Potapov VD, Demidenko AV, Lunin VG, Gintsburg AL. Multi-subunit BCG booster vaccine GamTBvac: Assessment of immunogenicity and protective efficacy in murine and guinea pig TB models. PLoS One. 2017 Apr 28;12(4):e0176784. doi: 10.1371/journal.pone.0176784. eCollection 2017. PubMed 28453555 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03255278
Lead sponsor
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
Responsible party
Sponsor
First posted
Aug 21, 2017
Start date
Jan 15, 2017
Primary completion
Dec 13, 2017
Completion
Dec 13, 2017
Last update
Dec 27, 2017

Oversight

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

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