Clinical Trial to Study 4 Different Doses of the Vaccine RUTI in Healthy Volunteers

Germans Trias i Pujol Hospital

Status and phase: Completed; Phase 1

Conditions: Tuberculosis; Latent Tuberculosis Infection

Treatments: Biological: placebo of the vaccine RUTI; Biological: RUTI

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT00546273

FA/MI/01

EudraCT Number: 2006-000690-29

Details and patient eligibility

About

The aim of this study is to evaluate the safety of a new vaccine against Tuberculosis (RUTI) when administered to healthy adult volunteers, compared to placebo; and determine its safe dosage range. An initial evaluation of immune responses to the vaccine compared to placebo will also be undertaken.

In the present Phase I clinical trial, four increasing doses of RUTI will be tested, the groups composed by 6 volunteers each. (Total of 24 volunteers). The escalation to a new dose to test will be done after the safety of the previous dose has been ensured.

For each dose of FCMtb to test, each volunteer will be inoculated twice (at day 0 and day 28) with RUTI (4 volunteers) or placebo (2 volunteers) and will be followed-up up to 25 weeks from the first inoculation. The global length of the study will be approximately 15 months.

Full description

RUTI is a therapeutic vaccine made from virulent M.tuberculosis bacteria, grown in stressful conditions, fragmented, detoxified, heat inactivated (FCMtb) and liposomed. RUTI provides a strong humoral and cellular immune response against antigens from active growing and latent bacilli but also against structural antigens, as it has been proved in animal models of latent tuberculosis infection. The vaccine has been designed to be used against Latent Tuberculosis Infection as a therapeutic vaccine after 1-month of chemotheraputic treatment, instead the current treatment based on 6-9 months of chemotherapy.

Enrollment: 24 patients

Sex: Male

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Signed informed consent
• Healthy, based on medical examination at inclusion
• Male Caucasian subjects, aged between 18 and 40 years
• Willing and likely to be able to comply with the trial procedures

Exclusion criteria

• Evidence of previous, current or latent tuberculosis, as radiological findings on chest X ray compatible with previous or current infection with tuberculosis
• Positive T-SPOT TB result
• BCG-vaccinated subjects
• History of severe organ-system diseases, including
• History of allergic disorders or known hypersensitivity to any drug or vaccine, or to any of the vaccine to be studied components
• Personal or familiar history of autoimmune diseases, or Positive Antinuclear Antibodies
• HIV, HBV and HCV sero-positive
• Suspected or known current drug and/or alcohol abuse (as defined by an alcohol intake of > 50 g a day
• Lost of more than 400 mL of blood within 12 weeks, or more than 250 mL within 4 weeks, before the recruitment
• Laboratory parameters outside of normal ranges considered clinically significant
• Intake of trial medication in other clinical trials within 1 month of the first vaccination
• Intake of any other drugs that could not be eliminated of the body before the first vaccination, especially anti-inflammatory nonsteroid and corticosteroid drugs
• Acute disease with > 37ºC temperature within 72 hours before the first vaccination

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Quadruple Blind

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24 participants in 5 patient groups, including a placebo group

RUTI 5 micrograms of FCMtb

Experimental group

Description:

RUTI dose: 5 micrograms of FCMtb (for fragmented cells of M. tuberculosis) (n=4)

Treatment:

Biological: RUTI

Biological: RUTI

Biological: RUTI

Biological: RUTI

RUTI 25 micrograms of FCMtb

Experimental group

Description:

RUTI dose: 25 micrograms of FCMtb (for fragmented cells of M. tuberculosis) (n=4)

Treatment:

Biological: RUTI

Biological: RUTI

Biological: RUTI

Biological: RUTI

RUTI 100 micrograms of FCMtb

Experimental group

Description:

RUTI dose: 100 micrograms of FCMtb (for fragmented cells of M. tuberculosis) (n=4)

Treatment:

Biological: RUTI

Biological: RUTI

Biological: RUTI

Biological: RUTI

RUTI 200 micrograms of FCMtb

Experimental group

Description:

RUTI 200 micrograms of FCMtb (for fragmented cells of M. tuberculosis) (n=4)

Treatment:

Biological: RUTI

Biological: RUTI

Biological: RUTI

Biological: RUTI

placebo

Placebo Comparator group

Description:

placebo of the vaccine RUTI (total n=8, n=2 for each period)

Treatment:

Biological: placebo of the vaccine RUTI