A Phase 1 interventional study of Ad4-EnvCN54 and MVA-CN54 in Human Immunodeficiency Virus, sponsored by Imperial College London. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-16.
Sponsored by Imperial College London · Phase 1, Interventional, and Prevention
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A Phase I Single-Blind randomised trial investigating immunisation strategies using Ad4-EnvCN54, MVA-CN54 and CN54gp140/MPLA combinations in order to maximise antibody responses to Human Immunodeficiency Virus
This is a randomised two-part Phase I study which will explore the impact of different boosting options (MVA-CN54 and recombinant CN54gp140 protein) for oral Adenovirus serotype 4 vector prime expressing HIV-1 CN54 envelope (Ad4-EnvCN54) designed to optimize systemic and mucosal antibody responses.
Part 1 is exploratory and designed to select conditions capable of promoting enhanced systemic and mucosal B cell responses in a limited number of participants.
Part 2 is dependent upon Part 1 and is designed to study groups selected on performance in part 1 in an expanded number of subjects. Data from both stages will be combined for safety and immunological analyses.
3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.
This study's enrollment of 68 is below the median of 96 across 2,252 interventional studies indexed under Acquired Immunodeficiency Syndrome.
Browse Acquired Immunodeficiency Syndrome studies →Imperial College London is the lead sponsor of 843 studies on the registry; 180 are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.
Compared within Acquired Immunodeficiency Syndrome, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →
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.
At low risk of infection and willing to remain so for the duration of the study defined as:
Exclusion Criteria:
abnormality on history or examination including:
History of severe local or general reaction to vaccination defined as
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.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
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.
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.
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.
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.
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.
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.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.
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.
Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.
Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.
Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.
After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Live vaccines
Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hepatitis B tests
Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.
Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hepatitis C tests
Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.
After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Month 0: oral placebo Month 3: oral placebo + I.M. CN54gp140/MPLA + I.M. placebo Month 6: oral placebo + I.M. CN54gp140/MPLA + I.M. placebo
Biological: CN54gp140/MPLA
Month 0: Ad4-EnvCN54 Month 3: oral placebo + I.M. CN54gp140/MPLA + I.M. placebo Month 6: oral placebo + I.M. CN54gp140/MPLA + I.M. placebo
Biological: Ad4-EnvCN54 · Biological: CN54gp140/MPLA
Month 0: Ad4-EnvCN54 Month 3: Ad4-EnvCN54 + I.M. CN54gp140/MPLA + I.M. placebo Month 6: oral placebo + I.M. CN54gp140/MPLA + I.M. placebo
Biological: Ad4-EnvCN54 · Biological: CN54gp140/MPLA
Month 0: Ad4-EnvCN54 Month 3: Ad4-EnvCN54 + I.M. CN54gp140/MPLA + I.M. placebo Month 6: Ad4-EnvCN54 + I.M. CN54gp140/MPLA + I.M. placebo
Biological: Ad4-EnvCN54 · Biological: CN54gp140/MPLA
Month 0: oral placebo Month 3: oral placebo + I.M. CN54gp140/MPLA + I.M. MVA-CN54 Month 6: oral placebo + I.M. CN54gp140/MPLA + I.M. MVA-CN54
Biological: MVA-CN54 · Biological: CN54gp140/MPLA
Month 0: Ad4-EnvCN54 Month 3: oral placebo + I.M. CN54gp140/MPLA + I.M. MVA-CN54 Month 6: oral placebo + I.M. CN54gp140/MPLA + I.M. MVA-CN54
Biological: Ad4-EnvCN54 · Biological: MVA-CN54 · Biological: CN54gp140/MPLA
Month 0: Ad4-EnvCN54 Month 3: Ad4-EnvCN54 + I.M. CN54gp140/MPLA + I.M. MVA-CN54 Month 6: oral placebo + I.M. CN54gp140/MPLA + I.M. MVA-CN54
Biological: Ad4-EnvCN54 · Biological: MVA-CN54 · Biological: CN54gp140/MPLA
Month 0: Ad4-EnvCN54 Month 3: Ad4-EnvCN54 + I.M. CN54gp140/MPLA + I.M. MVA-CN54 Month 6: Ad4-EnvCN54 + I.M. CN54gp140/MPLA + I.M. MVA-CN54
Biological: Ad4-EnvCN54 · Biological: MVA-CN54 · Biological: CN54gp140/MPLA
Live, replication-competent adenovirus 4 vector, engineered to express the envelope glycoprotein of HIV-1 isolate 97CN54
Live, non-replicating modified vaccinia Ankara vector, engineered to express the envelope glycoprotein of HIV-1 isolate 97CN54
Recombinant glycoprotein of HIV-1 isolate 97CN54, with liposomal monophosphoryl lipid A adjuvant
Also known as: CN54-M
Number of Participants With Mucosal Binding IgG Antibodies to HIV CN54gp140 Antigen
Number of participants with mucosal (semen, nasal, vaginal or rectal) binding IgG antibodies to HIV CN54gp140 antigen, as determined by ELISA
Time frame: At two weeks after the final immunisation
Number of Participants With Severe or Greater (Grades 3-4) Adverse Reactions During the Study
Number of Participants With Severe or Greater (Grades 3-4) Adverse Reactions up to twenty-four weeks after the final immunisation
Time frame: Up to twenty-four weeks after the final immunisation
Median Concentration of CN54-gp140 Specific IgG Binding Antibodies
Median concentration of CN54-gp140 specific IgG binding antibodies, as measured by ELISA. Concentration is in ng/mL
Time frame: At two weeks after the final immunisation
Number of Participants With Detectable Serum Binding Antibodies to HIV CN54gp140 Antigen
Number of participants with detectable serum binding antibodies to HIV CN54gp140 antigen, as measured by IgG binding ELISA
Time frame: At two weeks post-final immunisation
| Milestone | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H |
|---|---|---|---|---|---|---|---|---|
| Started | 15 | 6 | 6 | 13 | 6 | 6 | 9 | 7 |
| Completed | 11 | 6 | 6 | 12 | 6 | 6 | 6 | 6 |
| Not completed | 4 | 0 | 0 | 1 | 0 | 0 | 3 | 1 |
Number of participants with mucosal (semen, nasal, vaginal or rectal) binding IgG antibodies to HIV CN54gp140 antigen, as determined by ELISA
| Participants | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H |
|---|---|---|---|---|---|---|---|---|
| Number of Participants With Mucosal Binding IgG Antibodies to HIV CN54gp140 Antigen | 0 | 3 | 1 | 6 | 0 | 1 | 2 | 1 |
Number of Participants With Severe or Greater (Grades 3-4) Adverse Reactions up to twenty-four weeks after the final immunisation
| Participants | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H |
|---|---|---|---|---|---|---|---|---|
| Number of Participants With Severe or Greater (Grades 3-4) Adverse Reactions During the Study | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 3 |
Median concentration of CN54-gp140 specific IgG binding antibodies, as measured by ELISA. Concentration is in ng/mL
| ng/mL | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H |
|---|---|---|---|---|---|---|---|---|
| Median Concentration of CN54-gp140 Specific IgG Binding Antibodies | 464 (23 to 1521) | 14141 (3971 to 18348) | 8992 (3798 to 79435) | 11367 (398 to 26149) | 6280 (1102 to 15044) | 9639 (3250 to 14282) | 20512 (10583 to 36552) | 9041 (4735 to 21023) |
Number of participants with detectable serum binding antibodies to HIV CN54gp140 antigen, as measured by IgG binding ELISA
| Participants | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H |
|---|---|---|---|---|---|---|---|---|
| Number of Participants With Detectable Serum Binding Antibodies to HIV CN54gp140 Antigen | 7 | 6 | 5 | 11 | 6 | 6 | 6 | 6 |
Collected over 12 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Group A | 0/12 (0%) | 1/12 (8.3%) | 6/12 (50%) |
| Group B | 0/6 (0%) | 0/6 (0%) | 3/6 (50%) |
| Group C | 0/6 (0%) | 1/6 (16.7%) | 2/6 (33.3%) |
| Group D | 0/12 (0%) | 0/12 (0%) | 9/12 (75%) |
| Group E | 0/6 (0%) | 0/6 (0%) | 3/6 (50%) |
| Group F | 0/6 (0%) | 1/6 (16.7%) | 3/6 (50%) |
| Group G | 0/6 (0%) | 0/6 (0%) | 3/6 (50%) |
| Group H | 0/6 (0%) | 3/6 (50%) | 5/6 (83.3%) |
| Event | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H |
|---|---|---|---|---|---|---|---|---|
| UTI on Kidney stonesRenal and urinary disorders | 0/12 | 0/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 1/6 |
| PalpitationsCardiac disorders | 0/12 | 0/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 1/6 |
| Blood loss anaemiaBlood and lymphatic system disorders | 0/12 | 0/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 1/6 |
| Haematemesis secondary to Mallory WeissGastrointestinal disorders | 0/12 | 0/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 1/6 |
| ConcussionGeneral disorders | 0/12 | 0/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 1/6 |
| Cellulitis on handSkin and subcutaneous tissue disorders | 0/12 | 0/6 | 1/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
| DiverticulitisGastrointestinal disorders | 0/12 | 0/6 | 0/6 | 0/12 | 0/6 | 1/6 | 0/6 | 0/6 |
| Depressive Disorder Triggering OverdosePsychiatric disorders | 1/12 | 0/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
| Event | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H |
|---|---|---|---|---|---|---|---|---|
| Rhinorrhoea/nasopharyngitis/rhinitis/cold/upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders | 4/12 | 2/6 | 2/6 | 4/12 | 1/6 | 1/6 | 3/6 | 1/6 |
| VomitingGastrointestinal disorders | 0/12 | 0/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 2/6 |
| MyalgiaGeneral disorders | 0/12 | 1/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
| Tenderness left armProduct Issues | 0/12 | 1/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
| CoughRespiratory, thoracic and mediastinal disorders | 0/12 | 1/6 | 0/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
| Anal haemorrhageGastrointestinal disorders | 0/12 | 0/6 | 1/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
| DizzinessGeneral disorders | 0/12 | 0/6 | 1/6 | 0/12 | 0/6 | 1/6 | 0/6 | 1/6 |
| HeadacheGeneral disorders | 0/12 | 1/6 | 1/6 | 1/12 | 1/6 | 0/6 | 1/6 | 0/6 |
| Right wrist synovialcyst surgical removalSurgical and medical procedures | 0/12 | 0/6 | 1/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
| PyrexiaGeneral disorders | 0/12 | 0/6 | 1/6 | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 |
Healthy male or female adults, 18 to 50 years of age, at low risk for HIV infection.
| Age, Categorical(Participants) | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H | Total |
|---|---|---|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 15 | 6 | 6 | 13 | 6 | 6 | 9 | 7 | 68 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 7 | 2 | 3 | 6 | 2 | 2 | 4 | 3 | 29 |
| Male | 8 | 4 | 3 | 7 | 4 | 4 | 5 | 4 | 39 |
| Race/Ethnicity, Customized(Participants) | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H | Total |
|---|---|---|---|---|---|---|---|---|---|
| White British | 7 | 3 | 3 | 3 | 2 | 5 | 4 | 1 | 28 |
| White Irish | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Any other white background | 5 | 0 | 0 | 3 | 4 | 0 | 2 | 3 | 17 |
| Indian | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 4 |
| Pakistani | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Bangladeshi | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Any other Asian background | 0 | 1 | 0 | 2 | 0 | 0 | 1 | 2 | 6 |
| Mixed White and Black Caribbean | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Mixed White and Black African | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Mixed White and Asian | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Any other Mixed background | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 |
| Black Caribbean | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 3 |
| Black African | 0 | 1 | 2 | 0 | 0 | 0 | 1 | 0 | 4 |
| Any other Black background | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Region of Enrollment(participants) | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H | Total |
|---|---|---|---|---|---|---|---|---|---|
| United Kingdom | 15 | 6 | 6 | 13 | 6 | 6 | 9 | 7 | 68 |
| Number of participants with CN54-gp140 IgG antibodies at time of vaccination(Participants) | Group A | Group B | Group C | Group D | Group E | Group F | Group G | Group H | Total |
|---|---|---|---|---|---|---|---|---|---|
| Count of participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Oct 2017 to primary completion in Feb 2020, 28 months.
Results were first posted in Oct 2024, 4 years 8 months after primary completion.
Of 63 non-industry phase 1 interventional studies under Acquired Immunodeficiency Syndrome, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 39. This study's 28 months is above that.
Counting every sponsor, half of 139 studies reached it within 14 months; a quarter within 4 and three quarters within 28.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.
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Acquired Immunodeficiency Syndrome →