ClinicalTrials.gg
WithdrawnNCT03265977A-043Updated Apr 10, 2018

A Phase II Study of H56:IC31 in Healthy Adolescents

A Phase 2 interventional study of H56:IC31 and Placebo in Tuberculosis Infection, sponsored by Aeras. Withdrawn at 4 sites in 2 countries. Open to participants aged 12 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-04-10.

Sponsored by Aeras · Phase 2, Interventional, and Prevention

Why this study was withdrawn
Design, sponsorship changed prior to initiation. No study procedures done.
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
12 Years to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 20 studies in Latent Tuberculosis with a site in South Africa — 4 open to participants now, 6 under way, 2 of them phase 3. Latent Tuberculosis · South Africa.

Enrollment
15th of 15
0 · median 426
Started
2018
with 1 other
Phase 2
3 of 20
none open now
Registered
10th of 20
by date
Lead sponsor
3 of 20
Aeras

Among the 20 studies in Latent Tuberculosis with a site in South Africa, this one is the 15th largest by enrollment of the 15 interventional ones that give a count, is one of 2 that started in 2018, is one of 3 in phase 2, and was the 10th registered.

Latent Tuberculosis

199 studies on the registry are indexed under Latent Tuberculosis; 48 are open to participants now.

Browse Latent Tuberculosis studies →

Open to participants now

4 of the 20 studies in Latent Tuberculosis with a site in South Africa are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in South Africa have not opened yet or have stopped. Only those recruiting at a site in South Africa →

Who these studies take

Of the 29 Latent Tuberculosis studies recruiting now, 15 (52%) set no upper age limit and 12 (41%) stop at 75 or younger; 15 take children under 18; 7 take healthy volunteers.

This study: 12 Years to 17 Years · all sexes · healthy volunteers too.

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02

Study summary

This clinical trial will evaluate safety, immunogenicity, and efficacy (prevention of Mtb infection as measured by IGRA conversions) of H56:IC31 in remotely BCG vaccinated adolescents.

Read the detailed description

This clinical trial will evaluate safety, immunogenicity, and prevention of Mtb infection, (measured by IGRA conversion) of H56:IC31 in remotely BCG vaccinated adolescents. A TB vaccination strategy incorporating H56:IC31 in adolescents or young adults, if found to prevent Mtb infection, would likely have a major impact on TB disease, TB transmission, and control of the epidemic. If vaccination with H56:IC31 is shown to prevent infection with Mtb in this proof of concept study in adolescents, additional larger scale studies examining the impact on TB disease in more diverse populations would be warranted.

Primary objectives

  • To evaluate the safety profile of H56:IC31 compared to placebo in HIV-uninfected, remotely BCG vaccinated adolescents.
  • To evaluate prevention of Mtb infection by H56:IC31 compared to placebo, as measured by rates of conversion using an ESAT-6 free IGRA.

Secondary objectives

  • To evaluate prevention of Mtb infection by H56:IC31 compared to placebo, as measured by rates of sustained conversion using an ESAT-6 free IGRA.
  • To evaluate trends in ESAT-6 free IGRA prolonged/sustained conversions and late reversions (i.e., through more than 6 months post initial conversion) in ESAT-6 free IGRA converters.
  • To investigate the immunogenicity of H56:IC31 in HIV-uninfected, remotely BCG vaccinated adolescents.
03

Conditions studied

  • Tuberculosis Infection

Browse trials for

04

Who can participate

Ages eligible
12 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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. Has completed the written and assent process
  2. Is age ≥12 years and ≤17 years on Study Day 0
  3. Agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study
  4. For female participants: agrees to avoid pregnancy from 21 days prior to Study Day 0 through 6 months after the last study vaccination. Women physically capable of pregnancy (not sterilized and still menstruating or within 1 year of the last menses) 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, or intrauterine device (IUD)
  5. Has general good health, confirmed by medical history and physical examination
  6. Had BCG vaccination at least 5 years ago documented by confirmation of parent/guardian that the participant received all childhood vaccines or by presence of healed BCG scar
  7. Tests ESAT-6 free IGRA and QFT-Plus negative at screening, using a pre-determined threshold for ESAT-6 free IGRA and the manufacturer's recommended threshold for QFT-Plus of 0.35 IU/mL in either of the TB antigen tubes after nil-subtraction

Exclusion criteria

Exclusion Criteria:

  1. Acute illness on Study Day 0
  2. Axillary temperature ≥37.5 °C on Study Day 0
  3. Abnormal laboratory values from the most recent blood collected prior to randomization as follows (abnormal results may be repeated once and if found to be resolved the participant will not be excluded):

    • Laboratory evidence of hematologic disease (white blood cell count \<3000/mm\^3 or >11,500/mm\^3; \<0.9 times the lower limit of normal of the testing laboratory, by age and gender; \<1300/mm\^3; absolute lymphocyte count \<1000/mm\^3).
    • , AST, alkaline phosphatase, total , creatinine, blood urea nitrogen (BUN) >1.25 times the
  4. Urinalysis abnormality greater than Grade 1 on the Toxicity Scale (with the exception of hematuria in a menstruating female), or urinalysis abnormality judged by the investigator
  5. History or evidence of any clinically significant systemic disease, or any acute or chronic illness that might affect the safety, immunogenicity, or efficacy of product in the opinion of the investigator
  6. History of treatment for active TB disease or latent Mtb infection
  7. History or evidence, including chest X-ray, of active TB disease
  8. Shared household with an individual receiving anti-TB treatment, or known to have incompletely treated culture or smear positive TB, at screening
  9. History of disease or
  10. Used immunosuppressive medication within 42 days before Study Day 0 (inhaled and topical are permitted)
  11. Received immunoglobulin or blood products within 42 days before Study Day 0
  12. Received any investigational drug or investigational vaccine within 180 days before Study Day 0, or planned participation in any other clinical trial during the study period
  13. Received investigational TB vaccine at any time prior to Study Day 0
  14. Planned administration/administration of a licensed vaccine in the period starting 28 days before and ending 28 days after each dose of investigational product
  15. History or laboratory evidence of any past or present possible immunodeficiency state including, but not limited to, any laboratory indication of 1 infection
  16. History of allergic disease or reactions, including eczema, likely to be exacerbated by any component of the investigational product
  17. History of alcohol or drug abuse
  18. Any female currently pregnant or lactating/nursing, or positive urine pregnancy test during screening or Study Day 0
  19. Received a tuberculin skin test (TST) within 3 months (90 days) prior to Study Day 0.
  20. Any current medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the participant will comply with the 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.

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.

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.

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).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    H56:IC31

    5 ug H56/500 nmol IC31, 0.5 mL Intramuscular (IM), Days 0 and 56

    Biological: H56:IC31

  • Placebo comparator
    Placebo

    Normal saline, 0.5 mL IM, Days 0 and 56

    Other: Placebo

Interventions

  • BiologicalH56:IC31

    The H56 antigen is a fusion protein created from 3 Mtb antigens: antigen 85B (Ag85B), ESAT-6, and Rv2660c.

  • OtherPlacebo

    Normal saline

06

What researchers measure

Primary outcomes

  1. Frequency and severity of adverse events

    To evaluate the safety profile of H56:IC31 compared to placebo in HIV-uninfected, previously BCG vaccinated adolescents.

    Time frame: Day 0 through month 24

  2. ESAT-6 free IGRA conversion from a negative to positive test at any time point after Day 84 and through end of follow-up for the primary endpoint.

    To evaluate prevention of Mtb infection by H56:IC31 compared to placebo, as measured by rates of conversion using an ESAT-6 free IGRA.

    Time frame: Day 84 through month 24

Secondary outcomes

  1. Primary ESAT-6 free IGRA conversion from a negative to a positive test

    Primary ESAT-6 free IGRA conversion from a negative to a positive test at any time point after Day 84 and through end of follow up for the primary endpoint, AND persisting without ESAT-6 free IGRA reversion from a positive to a negative test through 6 months after ESAT-6 free IGRA conversion.

    Time frame: Day 84 through month 24

  2. Primary ESAT-6 free IGRA conversion from a negative to a positive test

    Primary ESAT-6 free IGRA conversion from a negative to a positive test at any time point after randomization and through end of follow up for the primary endpoint, AND persisting without ESAT-6 free IGRA reversion from a positive to a negative test through 6 months after ESAT-6 free IGRA conversion.

    Time frame: Day 84 through end of study (approximately 24 months)

  3. Initial ESAT-6 free IGRA reversion from a positive to a negative test at any time point after primary ESAT-6 free IGRA conversion through the end of follow up.

    To evaluate trends in ESAT-6 free IGRA prolonged/sustained conversions and late reversions (i.e., through more than 6 months post initial conversion) in ESAT-6 free IGRA converters.

    Time frame: Day 84 through month 24

  4. Percentage of CD4+ and CD8+ T cells that express IFN-γ, TNF, and/or IL-2 alone or in combination in response to stimulation with peptide pools representing the entire amino acid sequence of the vaccine antigens.

    Immunogenicity of H56:IC31 in HIV-uninfected, previously BCG vaccinated adolescents.

    Time frame: Day 0 through month 24

07

Study locations

4 sites
  • Aurum Institute - Klerksdorp
    Klerksdorp, 2571, South Africa
  • Aurum Institute - Rustenburg
    Rustenburg, 0300, South Africa
  • Aurum Institute - Tembisa
    Tembisa, 1632, South Africa
  • National Institute for Medical Research
    Mwanza, Isamilo Area, Tanzania
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jun 2018; primary completion for Apr 2021, 34 months later.

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

Registered
Aug 24, 2017
First posted
Aug 29, 2017
StartEst.
Jun 2018
Primary completionEst.
Apr 30, 2021
CompletionEst.
Jun 30, 2021
Last update
Apr 10, 2018
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 Apr 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03265977
Lead sponsor
Aeras
Collaborators
Statens Serum Institut, Aurum Institute, South African Tuberculosis Vaccine Initiative, Oslo University Hospital, University of Copenhagen, University of Bergen, National Institute for Medical Research, Tanzania
Responsible party
Sponsor
First posted
Aug 29, 2017
Start date
Jun 2018 (estimated)
Primary completion
Apr 30, 2021 (estimated)
Completion
Jun 30, 2021 (estimated)
Last update
Apr 10, 2018

Study contacts

Dereck Tait, MD
study director · Aeras

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: H56

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