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A phase I study to compare the safety and immunogenicity of candidate tuberculosis (TB) vaccine MVA85A administered by the intramuscular route and the intradermal route
ISRCTN ISRCTN46804531
ClinicalTrials.gov identifier
Public title A phase I study to compare the safety and immunogenicity of candidate tuberculosis (TB) vaccine MVA85A administered by the intramuscular route and the intradermal route
Scientific title Safety and immunogenicity of candidate tuberculosis (TB) vaccine MVA85A administered by the intramuscular route and the intradermal route: a phase I randomised active controlled trial
Acronym N/A
Serial number at source 076943; TB022
Study hypothesis This is a phase I study that will compare the safety and immunogenicity of candidate tuberculosis (TB) vaccine MVA85A administered by the intramuscular route and the intradermal route in healthy adult individuals who have been previously vaccinated with Bacillus Calmette-Guerin (BCG).
Lay summary
Ethics approval Oxfordshire Research Ethics Committee (OXREC) approved on the 2nd December 2009 (ref: OXREC ref 09/H0604/128; EudraCT No.: 2009-015973-11)
Study design Phase I randomised active controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Tuberculosis
Participants - inclusion criteria 1. Healthy adult aged 18 - 55 years (both male and female)
2. Resident in or near Oxford for the duration of the study period
3. Confirmation of prior vaccination with BCG not less than 3 months prior to projected study vaccination date (by visible BCG scar on examination or written documentation)
4. Normal medical history and physical examination
5. Willingness to allow the Investigators to discuss the individual’s medical history with their GP
6. Willingness to use continuous effective barrier contraception for three months after receiving the vaccination (males and females)
7. Willingness to use effective contraception for the duration of the study period (females only)
8. Agreement to refrain from blood donation during the course of the study
9. Give written informed consent
10. Agreement to allow the Investigator to register volunteer details with a confidential database to prevent concurrent entry into clinical trials
11. Able and willing (in the Investigator’s opinion) to comply with all the study requirements
Participants - exclusion criteria 1. Clinical, radiological, or laboratory evidence of current active TB infection
2. Laboratory evidence at screening of latent TB infection as indicated by a positive ELISPOT test (greater than 17 sfc/million PBMC) in any ESAT6 peptide or CFP10 peptide poola
3. Previous vaccination with candidate vaccine MVA85A or another recombinant MVA vaccine
4. Clinically significant history of skin disorder, allergy, immunodeficiency (including human immunodeficiency virus [HIV]), cancer (except basal cell carcinoma [BCC] or carcinoma in situ [CIS]), cardiovascular disease, respiratory disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, neurological illness, psychiatric disorder, drug or alcohol abuse
5. History of serious psychiatric condition
6. Concurrent oral or systemic steroid medication or the use of other immunosuppressive agents
7. History of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the study vaccine
8. Any clinically significant abnormality of screening blood or urine tests
9. Positive hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) or HIV antibodies
10. Female currently lactating, confirmed pregnancy or intention to become pregnant during study period
11. Use of an investigational medicinal product or non-registered drug, live vaccine, or medical device other than the study vaccine for 30 days prior to dosing with the study vaccine, or planned use during the study period
12. Administration of immunoglobulins and/or any blood products within the three months preceding the planned trial vaccination date
13. Any other significant disease, disorder, or finding, which, in the opinion of the Investigator, may either put the volunteer at risk or may influence the result of the study or may affect the volunteer’s ability to participate in the study
Anticipated start date 01/01/2010
Anticipated end date 31/10/2010
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 24
Interventions MVA85A is a modified vaccinia virus Ankara expressing antigen 85A from Mycobacterium tuberculosis. All subjects will receive a single vaccination of 1 x 10^8 pfu (plaque forming units) of MVA85A, one group via the intramuscular route and one group via the intradermal route.

Total duration of follow-up: 6 months.
Primary outcome measure(s) Safety data in both groups, as assessed by the frequency, incidence, and nature of adverse events (AEs) and serious adverse events (SAEs) during the study. Safety is measured throughout the one year follow up period, but specifically on the following days: 2, 7, 14, 28, 56, 84, 168 and 364. Blood for safety testing is taken at Days 7 and 28.
Secondary outcome measure(s) Immunogenicity data in both groups. This will be obtained from exploratory immunological laboratory investigations on blood samples taken at screening, and throughout follow up. Immunogenicity is measured throughout the one year follow up period, but specifically on the following days: 2, 7, 14, 28, 56, 84, 168 and 364.
Sources of funding The Wellcome Trust (UK) - Senior Clinical Fellowship Grant (grant ref: 076943)
Trial website
Publications
Contact name Dr  Helen  McShane
  Address Jenner Institute
Old Road Campus Research Building
University of Oxford
  City/town Oxford
  Zip/Postcode OX3 7DQ
  Country United Kingdom
Sponsor University of Oxford (UK)
  Address Centre of Clinical Vaccinology and Tropical Medicine (CCVTM)
Churchill Hospital
  City/town Oxford
  Zip/Postcode OX3 7LJ
  Country United Kingdom
  Sponsor website: http://www.ox.ac.uk/
Date applied 15/12/2009
Last edited 18/12/2009
Date ISRCTN assigned 18/12/2009
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