Tuberculosis Clinical Trial
Official title:
Phase 1 Clinical Trial to Evaluate the Safety and Immunogenicity of an Adenovirus-based Tuberculosis Vaccine
The purpose of this Phase 1 study is to evaluate the safety and immune responses of a new tuberculosis vaccine, Ad5Ag85A, administered to healthy volunteers. 48 subjects will be recruited, 24 who have previously been vaccinated with BCG and 24 who have not received BCG vaccine. Two doses of the vaccine will be compared.
As the global tuberculosis (TB) epidemic continues, the incidence of latent and active TB is
expected to rise. HIV-infected persons are especially susceptible to TB. An improved TB
vaccine over the present BCG vaccine is needed.
The general objectives of our TB vaccine research program are to develop a safe and effective
vaccine for persons who at increased risk of contracting TB or reactivating latent
tuberculosis and develop a safe booster vaccine for persons who have been previously
vaccinated with BCG.
This is an open-labeled phase 1 single institution trial investigating a recombinant genetic
TB vaccine AdAg85A given by intramuscular injection in healthy subjects with or without a
history of BCG vaccination. Ad5Ag85A is a recombinant replication-deficient adenoviral vector
expressing an M. tuberculosis immunogenic antigen Ag85A. We have shown that it is safe,
immunogenic and associated with enhanced protection against challenge with virulent M Tb in
murine, bovine and guinea pig models. Clinical grade AdAg85A has been manufactured by the
Robert E Fitzhenry Vector Laboratory, Centre for Gene Therapeutics, McMaster University,
Hamilton, Ontario, Canada.
The effect of pre-existing adenovirus antibodies on the safety and immunogenicity of the
recombinant AdTB vaccine will be evaluated and the results of the PPD skin test following
vaccination evaluated in a subset of subjects with a history of a negative PPD skin test.
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