Clinical Trial Results:
Long-term follow-up of study participants from GlaxoSmithKline (GSK) Biologicals’-sponsored clinical trials evaluating Human Immunodeficiency Virus vaccine [F4co (p24-RT-Nef-p17)/AS01B vaccine] (732461) for therapeutic use.
Due to a system error, the data reported in v1 is not correct and has been removed from public view.
Summary
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EudraCT number |
2009-018097-64 |
Trial protocol |
DE |
Global end of trial date |
19 May 2014
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Results information
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Results version number |
v2(current) |
This version publication date |
13 Jul 2016
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First version publication date |
29 May 2015
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Other versions |
v1 (removed from public view) |
Version creation reason |
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Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
114083
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01092611 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
GlaxoSmithKline Biologicals
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Sponsor organisation address |
Rue de l’Institut 89, Rixensart, Belgium, B-1330
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Public contact |
Clinical Trials Call Center, GlaxoSmithKline Biologicals, 044 2089-904466, GSKClinicalSupportHD@gsk.com
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Scientific contact |
Clinical Trials Call Center, GlaxoSmithKline Biologicals, 044 2089-904466, GSKClinicalSupportHD@gsk.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Interim
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Date of interim/final analysis |
24 Sep 2012
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
19 May 2014
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
• To assess the health status of HIV-infected persons who have been previously enrolled in studies evaluating the F4co/AS01B vaccine
• To assess CD4 count and viral load kinetics of HIV-infected persons who have been previously enrolled in studies evaluating the F4co/AS01B vaccine
• To assess time to (re)initiation of ART of HIV-infected persons who have been previously enrolled in studies evaluating the F4co/AS01B vaccine
• To assess the incidence of specific clinical events (cardiovascular, end stage renal and hepatic events, opportunistic infections, cancers) of HIV-infected persons who have been previously enrolled in studies evaluating the F4co/AS01B vaccine
• To evaluate the safety of the F4co/AS01B vaccine and to check the safety of study participation
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Protection of trial subjects |
All subjects were supervised after vaccination/product administration with appropriate medical treatment readily available. Vaccines were administered by qualified and trained personnel. Vaccines were administered only to eligible subjects that had no contraindications to any components of the vaccines.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
22 Mar 2010
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Long term follow-up planned |
Yes
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Long term follow-up rationale |
Safety | ||
Long term follow-up duration |
7 Years | ||
Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Spain: 37
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Country: Number of subjects enrolled |
France: 52
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Country: Number of subjects enrolled |
Germany: 69
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Country: Number of subjects enrolled |
United States: 32
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Worldwide total number of subjects |
190
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EEA total number of subjects |
158
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
190
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms. | ||||||||||||||||||||||||||||||
Pre-assignment period milestones
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Number of subjects started |
190 | ||||||||||||||||||||||||||||||
Number of subjects completed |
165 | ||||||||||||||||||||||||||||||
Pre-assignment subject non-completion reasons
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Reason: Number of subjects |
Unknown completion reason: 25 | ||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Year 1 (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | ||||||||||||||||||||||||||||||
Blinding implementation details |
Partially blind for the ART-Naïve population: Results for this group may be amended at a forthcoming update of this summary as this group includes subjects previously enrolled in the ongoing 2010-021356-26 study, from which there may be more subjects to be enrolled.
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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HIV 732462 Naïve Group | ||||||||||||||||||||||||||||||
Arm description |
- | ||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
GSK HIV vaccine 732462
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
No additional vaccine doses were administered in this study, all vaccine doses were administered during the primaty studies.
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Arm title
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Placebo Naïve Group | ||||||||||||||||||||||||||||||
Arm description |
- | ||||||||||||||||||||||||||||||
Arm type |
Placebo | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
Physiological Saline
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
No additional vaccine doses were administered in this study, all vaccine doses were administered during the primaty studies.
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Arm title
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Blinded Naïve Group | ||||||||||||||||||||||||||||||
Arm description |
- | ||||||||||||||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
Physiological Saline
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
No additional vaccine doses were administered in this study, all vaccine doses were administered during the primaty studies.
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Investigational medicinal product name |
GSK HIV vaccine 732462
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
No additional vaccine doses were administered in this study, all vaccine doses were administered during the primaty studies.
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Arm title
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HIV 732462 Treated Group | ||||||||||||||||||||||||||||||
Arm description |
- | ||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
GSK HIV vaccine 732462
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
No additional vaccine doses were administered in this study, all vaccine doses were administered during the primaty studies.
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Arm title
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Placebo Treated Group | ||||||||||||||||||||||||||||||
Arm description |
- | ||||||||||||||||||||||||||||||
Arm type |
Placebo | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
Physiological Saline
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
No additional vaccine doses were administered in this study, all vaccine doses were administered during the primaty studies.
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Notes [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Out of 190 enrolled, 25 have an unknown status due to ongoing study 111679 and blinded results |
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Baseline characteristics reporting groups
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Reporting group title |
HIV 732462 Naïve Group
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo Naïve Group
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Blinded Naïve Group
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
HIV 732462 Treated Group
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo Treated Group
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
HIV 732462 Naïve Group
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Reporting group description |
- | ||
Reporting group title |
Placebo Naïve Group
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Reporting group description |
- | ||
Reporting group title |
Blinded Naïve Group
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Reporting group description |
- | ||
Reporting group title |
HIV 732462 Treated Group
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Reporting group description |
- | ||
Reporting group title |
Placebo Treated Group
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Reporting group description |
- |
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End point title |
Number of subjects with anti-retroviral therapy (ART) initiation or modification [1] | ||||||||||||||||||||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
At Year 1 post Dose 1
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed |
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No statistical analyses for this end point |
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End point title |
Number of subjects with ART modifications by reason [2] | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
From Year 0 to Year 1
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Notes [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed |
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No statistical analyses for this end point |
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End point title |
Cluster of Differentiation 4 (CD4) cell count [3] | ||||||||||||||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
At Year 1
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Notes [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed |
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No statistical analyses for this end point |
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End point title |
Human Immunodeficiency Virus (HIV) Viral Load (VL) in all HIV+ subjects [4] [5] | ||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
At Year 1
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Notes [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: The analysis did not include the Blinded Group. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with Human Immunodeficiency Virus (HIV) progression [6] | ||||||||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
At Year 1 post Dose 1
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Notes [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed |
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No statistical analyses for this end point |
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End point title |
Number of subjects with Adverse Events (AEs) [7] | ||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
From Year 0 to Year 1
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Notes [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed |
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No statistical analyses for this end point |
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End point title |
Number of subjects with potential Immune Diseases (pIMDs) [8] | ||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
From Year 0 to Year 1
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Notes [8] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed |
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No statistical analyses for this end point |
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End point title |
Number of subjects with serious adverse events (SAEs) [9] | ||||||||||||||||||||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
From Year 0 to Year 1
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Notes [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed |
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No statistical analyses for this end point |
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End point title |
Number of subjects with undetectable VL [10] [11] | |||||||||
End point description |
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End point type |
Primary
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End point timeframe |
At Year 1
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Notes [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis performed only on subjects from ART-Treated Cohort who previously participated in the 112353 study and were stable on HAART with undetectable virus load. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with antibodies against vaccine antigens [12] | ||||||||||||||||||||||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
At Year 1
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Notes [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: The analysis did not include the Blinded Group. |
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No statistical analyses for this end point |
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End point title |
Anti-Nef, Anti-P17, Anti-P24, Anti-RT, Anti-F4co antibody concentrations [13] | |||||||||||||||||||||||||||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
At Year 1
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Notes [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: The analysis did not include the Blinded Group. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with response to antigens [14] | |||||||||||||||||||||||||||||||||
End point description |
Breadth was assessed only for the HIV specific CD4+ T cells and was measured by evaluating response to at least 1, 2, 3 antigens and to all 4 antigens.
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End point type |
Secondary
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End point timeframe |
At Year 0 and Year 1
|
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Notes [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: The analysis did not include the Blinded Group. |
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|
||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Frequency of F4-computed fussion protein and Nef, P17, P24, RT antigens – specific cluster of differentiation CD40L+ CD4+ T- cells expressing at least two Interleukins-2 (IL-2) [15] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Magnitude was defined as the frequency of F4co, P17, P24, Nef and RT-specific CD40L+ CD4+ T-cells expressing at least IL-2.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
At Year 0 and Year 1
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Notes [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: The analysis did not include the Blinded Group. |
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|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Frequency of F4-computed fussion protein and Nef, P17, P24, RT antigens – specific cluster of differentiation CD40L+ CD4+ T- cells expressing at least one cytokine [16] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Magnitude was defined as the frequency of F4co, P17, P24, Nef and RT-specific CD40L+ CD4+ T-cells expressing at least one cytokine.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
At Year 0 and Year 1
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Notes [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: The analysis did not include the Blinded Group. |
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|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Frequency of F4-computed fussion protein and Nef, P17, P24, RT antigens – specific cluster of differentiation CD8+ T- cells expressing at least one cytokine [17] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
The Cytokine Co-expression profile was defined by the frequency of F4co, P17, P24, Nef and RT specific CD4+ (or respectively CD8+) T-cells expressing CD40L and/or IL-2 and/or TNF-α and /or IFN-g.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
At Year 0 and Year 1
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Notes [17] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: The analysis did not include the Blinded Group. |
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|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse events information [1]
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Timeframe for reporting adverse events |
Unsolicited AEs from Year 0 to Year 1 post-vaccination period, SAEs from Year 0 to Year 1
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
18.0
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting groups
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
HIV 732462 Naïve Group
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo Naïve Group
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Blinded Naïve Group
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
HIV 732462 Treated Group
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo Treated Group
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: No non-serious adverse events were reported, as no vaccine was administered. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||||||
Substantial protocol amendments (globally) |
|||||||
Were there any global substantial amendments to the protocol? Yes | |||||||
Date |
Amendment |
||||||
30 Aug 2011 |
Amendment 1
The names of the persons now in charge of the study have been changed on the cover page.
Section 11 and Appendix C, which provide country-specific information for participating centres in France, have been added.
Some aspects of study design, endpoints and study conclusion have been reworded for clarity.
|
||||||
06 Feb 2012 |
Amendment 2
This amendment was developed in order to extend safety follow-up to the collection of information on
1) Serious adverse events considered by the investigator to be related to study vaccination (which was performed in previous GSK-sponsored trials evaluating the F4co/AS01B vaccine) or study participation and
2) Potential immune–mediated diseases.
The US BB-IND number has also been added where required by GSK’s protocol template.
|
||||||
13 Jan 2014 |
Recent data from study TH HIV-008 (Efficacy and safety of HIV vaccine 732462 in ART-naïve HIV-1 infected persons; eTrack study number: 111679) failed to demonstrate a significant reduction of HIV-1 viral load after vaccination with two or three doses of F4co/AS01B, as compared to a placebo.
The observed incidence of adverse events after F4co/AS01B vaccination, their type and severity were acceptable. No clinical relevant changes in any laboratory parameters which could be imputed to the F4co/AS01B vaccine were observed. There was no clinically significant dose-dependent reactogenicity variation. A first evaluation of the long-term safety profile has been performed in study TH HIV-011 (cf interim report Y1, includes subjects from studies TH HIV-008 and TH HIV-010), where no significant safety issue was reported.
In consequence, the long-term evaluation of the benefit/risk associated with study vaccination has become irrelevant and the present TH HIV-011 study, initially planned to last 7 years, will be prematurely terminated after collection of Year 1 data for all subjects enrolled in the study.
Minor changes have been implemented (e.g., update of the listing of contributing authors [names and titles], changes in tenses, addition of abbreviations), and typographical errors/misspellings have been corrected.
|
||||||
Interruptions (globally) |
|||||||
Were there any global interruptions to the trial? Yes | |||||||
|
|||||||
Limitations and caveats |
|||||||
Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||||||
None reported |