HIV Infections Clinical Trial
Official title:
The Role of Immunization Site in Eliciting Mucosal Immunity
The purpose of this study is to determine the safety and immune system response to the TBC-3B HIV vaccine when it is injected either into the groin area or into the arm. The goal is to determine which injection site is better at producing a particular type of immune response. This study is not evaluating the effectiveness of the vaccine, so volunteers must maintain low risk behavior for HIV transmission throughout the study.
The goal of this vaccination study is to evaluate the safety and immunogenicity of the
Therion Biologic Corporation (Cambridge, MA) TBC-3B vaccine. TBC-3B consists of live,
recombinant vaccinia virus expressing the env and gag/pol genes of HIV-1 strain IIIB. TBC-3B
will be administered by subcutaneous injection in the groin and in the deltoid region, with
the aim of determining which site is better at inducing mucosal immune responses. Because
the groin area drains to the inguinal lymph nodes, vaccines given there may stimulate local
immunologic activity in the draining rectal mucosa as well as systemic immunologic activity
in the blood.
Volunteers will be followed for 20 months. The first 2 months of the study will be an
evaluation of volunteers' normal immune function. Volunteers will then be randomly selected
to receive the TBC-3B experimental HIV vaccine in either the groin area or in the deltoid
region. Neither volunteers nor study personnel will know which group the volunteer will be
in until the day of the first immunization. All volunteers will receive TBC-3B.
During the 20 months of the study, volunteers will be asked to donate blood up to 14 times,
undergo seven flexible sigmoidoscopies with biopsies, and receive three pairs of vaccine
injections. For up to 36 days after each experimental vaccination, volunteers will be asked
to abstain from activity that might spread the virus in the vaccine and put others at risk.
Volunteers will receive specific instructions on how to avoid these risks. Volunteers will
also be asked not to engage in receptive anal intercourse during the study.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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