Safety of a Herpes Simplex Candidate Vaccine (gD2t) With MPL and Its Efficacy to Prevent Genital Herpes Disease

Overview

The purpose of the study is to evaluate the safety of Herpes Simplex candidate vaccine (gD2t) with adjuvant and its efficacy to prevent genital herpes disease in HSV positive or negative consorts of subjects with genital herpes disease.

Full Title of Study: “Safety of SmithKline Beecham Biologicals’ Herpes Simplex Candidate Vaccine (gD2t) With MPL & Its Efficacy to Prevent Genital Herpes Disease in HSV Positive or Negative Consorts of Subjects With Genital Herpes Disease”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Prevention
    • Masking: Double (Participant, Investigator)
  • Study Primary Completion Date: October 1999

Detailed Description

This study was monitored by a Data Safety Monitoring Board At the time of conduct of this study, the sponsor GlaxoSmithKline was known by its former name SmithKline Beecham

Interventions

  • Biological: Herpes simplex candidate vaccine- adjuvanted GSK208141
    • Intramuscular injection, 3 doses
  • Biological: Placebo injection
    • Intramuscular injection, 3 doses

Arms, Groups and Cohorts

  • Experimental: Group A
  • Placebo Comparator: Group B

Clinical Trial Outcome Measures

Primary Measures

  • To compare between herpes simplex vaccine (gD2t with adjuvant) and placebo the general safety of the vaccine by recording all the unsolicited adverse experiences
    • Time Frame: During the 7 month vaccination period
  • To evaluate the protective efficacy of gD2t with adjuvant to prevent acquisition of genital herpes disease in healthy female adults who are HSV seronegative or HSV seropositive at baseline
    • Time Frame: Survival analysis beginning at Month 0

Secondary Measures

  • To evaluate the protective efficacy of gD2t with adjuvant vaccine to prevent acquisition of genital herpes disease in healthy female adults who are HSV seronegative at baseline
    • Time Frame: Survival analysis beginning at Month 0
  • To evaluate the protective efficacy of the gD2t with adjuvant vaccine to prevent acquisition of genital herpes disease in healthy male and female adults who are HSV seronegative or HSV-1 seropositive at baseline
    • Time Frame: Survival analysis beginning at Month 0
  • To evaluate the protective efficacy of the gD2t with adjuvant vaccine to prevent acquisition of genital herpes disease in healthy female adults who are HSV seronegative or HSV-1 seropositive at baseline
    • Time Frame: After 3 doses of vaccine (between months 7 and 19)
  • To evaluate the protective efficacy of the gD2t with adjuvant vaccine to prevent symptoms of genital herpes disease in healthy female adults who are HSV seronegative at baseline
    • Time Frame: Survival analysis beginning at Month 0
  • To evaluate the protective efficacy of gD2t with adjuvant vaccine to prevent HSV infection in healthy female adults who are HSV seronegative or HSV-1 seropositive at baseline
  • To evaluate the protective efficacy of gD2t with adjuvant vaccine to prevent HSV infection in healthy female adults who are HSV seronegative at baseline.

Participating in This Clinical Trial

Inclusion Criteria

  • Between 18 and 45 years of age at the time of first vaccination – Written informed consent – Females of childbearing potential must have a negative pregnancy test at enrollment and be using an accepted method of birth control – The volunteers must have a regular sexual partner with genital herpes disease confirmed by medical history Exclusion Criteria:

  • Any previous history of or current clinical signs or symptoms of genital herpes disease. – Any previous vaccination against herpes simplex. – Any previous administration of MPL. – History of herpetic keratitis. – History of erythema multiforme. – Female subjects who are pregnant, lactating or planning a pregnancy before one month after the last vaccine dose. – Patient is immuno-compromised or is receiving immuno-modifying therapy of any kind. Topical corticoid therapy is allowed. – HIV positive at the time of enrollment – Clinical signs of acute or febrile illness at the time of entry into the study. – Any continuous suppressive antiviral oral therapy within the 6 months prior to entry. – Any administration of immunoglobulins during the vaccination course or within one month prior to the first vaccination. – Any vaccine administration less than one week before or after a study vaccination. – Previous known hypersensitivity to vaccination or to any component of the vaccine. – Simultaneous participation in any other clinical trial of an investigational compound. – Recent history of alcoholism or drug abuse – Recent clinical history or evidence of significant hepatic disease – Recent clinical history or evidence of renal dysfunction – Life-threatening or serious cardiac (NYHA grades III-IV), gastrointestinal, haematological or immunological disorder which, in the opinion of the investigator, would preclude entry into the study. – Inability or unwillingness to comply with the protocol or not expected to complete the study period

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 45 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • GlaxoSmithKline
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • GSK Clinical Trials, Study Director, GlaxoSmithKline

References

Stanberry LR, Spruance SL, Cunningham AL, Bernstein DI, Mindel A, Sacks S, Tyring S, Aoki FY, Slaoui M, Denis M, Vandepapeliere P, Dubin G; GlaxoSmithKline Herpes Vaccine Efficacy Study Group. Glycoprotein-D-adjuvant vaccine to prevent genital herpes. N Engl J Med. 2002 Nov 21;347(21):1652-61. doi: 10.1056/NEJMoa011915.

Tavares F, Cheuvart B, Heineman T, Arellano F, Dubin G. Meta-analysis of pregnancy outcomes in pooled randomized trials on a prophylactic adjuvanted glycoprotein D subunit herpes simplex virus vaccine. Vaccine. 2013 Mar 25;31(13):1759-64. doi: 10.1016/j.vaccine.2013.01.002. Epub 2013 Jan 10.

Verstraeten T, Descamps D, David MP, Zahaf T, Hardt K, Izurieta P, Dubin G, Breuer T. Analysis of adverse events of potential autoimmune aetiology in a large integrated safety database of AS04 adjuvanted vaccines. Vaccine. 2008 Dec 2;26(51):6630-8. doi: 10.1016/j.vaccine.2008.09.049.

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