HIV Infections
Conditions
Keywords
HIV, treatment experienced, treatment vaccinia naive
Brief summary
The purpose of this study is to gather information on the safety and immunogenicity of an investigational smallpox vaccine in HIV infected populations. Subjects will receive two vaccinations
Interventions
2 immunizations, four weeks apart: 1 x 10E8 TCID50, subcutaneous
Sponsors
Study design
Eligibility
Inclusion criteria
* Genders eligible for Study: Both * Age: between 18 and 55 years * Healthy volunteers are accepted Inclusion Criteria: * Subjects tested positive for HIV-1 infection (HIV-infected subjects). * Subjects that are tested negative for HIV (Healthy subjects). * Either on stable antiretroviral therapy or not on antiretroviral therapy. * CD4 cells \> = 200 - 750/µl. * Subjects must be in good general health except for HIV infection. * Women must not be pregnant and use an acceptable method of contraception.
Exclusion criteria
* Impairment of immunologic function (other than HIV infection). * History of coronary heart disease, myocardial infarction, angina, congestive heart failure, cardiomyopathy, stroke or transient ischemic attack, uncontrolled high blood pressure. * Uncontrolled serious infection. * History of or active autoimmune disease. * History or clinical manifestation of clinically significant and severe hematological, renal, hepatic, pulmonary, central nervous, cardiovascular or gastrointestinal disorders. * History of an immediate family member (father, mother, brother, or sister) who has had onset of ischemic heart disease before the age of 50 years. * High risk of developing a myocardial infarction or coronary death. * History of intravenous drug abuse (within the last 12 months). * Known allergy to egg or aminoglycoside (gentamicin). * History of anaphylaxis or severe allergic reaction. * Subjects undergoing treatment for tuberculosis infection or disease. * Chronic administration of systemic immuno-suppressants.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Serious Adverse Events | within 32 weeks | Incidence, relationship and intensity of any Serious Adverse Event (SAE) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Solicited Local Adverse Events | within 8 days after any vaccination | Incidence and intensity of solicited local AEs (pain, erythema, swelling). Percentages based on subjects with at least one completed diary card. |
| Solicited General Adverse Events | within 8 days after any vaccination | Incidence of solicited general AEs (increased body temperature, headache, myalgia, chills, nausea, and fatigue): Intensity and relationship to vaccination. Percentages based on subjects with at least one completed diary card. |
| Unsolicited Adverse Events: Incidence | within 29 days after any vaccination | Incidence of any unsolicited adverse events |
| Unsolicited Adverse Events: Intensity | within 29 days after any vaccination | Occurrence of unsolicited adverse events by Intensity |
| Unsolicited Adverse Events: Relationship to Vaccination | within 29 days after any vaccination | Occurrence of unsolicited adverse events by relationship to study vaccine |
| CD4+ T-cell Counts | within 32 weeks | Median CD4+ T-cell counts over time |
| CD8+ T-cell Counts | within 32 weeks | Median CD8+ T-cell counts over time |
| Related Grade >=3 Adverse Events | within 29 days after any vaccination | Incidence of any Grade 3 or higher adverse drug reaction (missing, unknown, not evaluable, possibly, probably, or definitely related) to the study vaccine |
| PRNT Seroconversion Rate | within 32 weeks | Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (6) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available. |
| PRNT GMT | within 32 weeks | Geometric Mean Titers (GMT) based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Titers below the detection limit are included with a value of '1'. |
| ELISA Seroconversion Rate | within 32 weeks | Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available. |
| ELISA GMT | within 32 weeks | Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Titers below the detection limit are included with a value of '1'. |
| ELISPOT IFN-γ: Response Rate | within 32 weeks | Response rate based on number of subjects with response in an interferon gamma (IFN-γ) ELISPOT assay. Response is defined as the appearance of a signal in subjects that had no signal at Baseline or a relative increase by a factor of ≥1.7 compared to Baseline in subjects that had a signal at Baseline. Percentages based on number of subjects with data available. |
| ELISPOT IFN-γ: SFU | within 32 weeks | Median number of interferon gamma (IFN-γ) secreting peripheral blood mononuclear cells (PBMC) in response to stimulation with MVA-BN detected by ELISPOT assay. |
| Viral Load | within 32 weeks | Viral load (HIV-1 RNA levels) over time |
Countries
Puerto Rico, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Healthy naïve Healthy, smallpox vaccine-naïve subjects | 88 |
| HIV naïve HIV-infected, smallpox vaccine-naïve subjects | 351 |
| Healthy Experienced Healthy, smallpox vaccine-experienced subjects | 9 |
| HIV Experienced HIV-infected, smallpox vaccine-experienced subjects | 131 |
| Total | 579 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 1 | 0 | 0 | 1 |
| Overall Study | Other reason | 0 | 12 | 1 | 1 |
| Overall Study | Physician Decision | 0 | 1 | 0 | 0 |
| Overall Study | Subject unwilling/unable to comply | 0 | 6 | 0 | 2 |
| Overall Study | Withdrawal by Subject | 0 | 5 | 0 | 1 |
Baseline characteristics
| Characteristic | Healthy naïve | HIV naïve | Healthy Experienced | HIV Experienced | Total |
|---|---|---|---|---|---|
| Age, Continuous | 28.9 years STANDARD_DEVIATION 7.14 | 36.8 years STANDARD_DEVIATION 7.98 | 45.6 years STANDARD_DEVIATION 8.88 | 44.6 years STANDARD_DEVIATION 5.13 | 37.5 years STANDARD_DEVIATION 8.8 |
| Region of Enrollment Puerto Rico | 0 participants | 27 participants | 0 participants | 7 participants | 34 participants |
| Region of Enrollment United States | 88 participants | 324 participants | 9 participants | 124 participants | 545 participants |
| Sex: Female, Male Female | 50 Participants | 64 Participants | 4 Participants | 21 Participants | 139 Participants |
| Sex: Female, Male Male | 38 Participants | 287 Participants | 5 Participants | 110 Participants | 440 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 88 | 1 / 351 | 0 / 9 | 0 / 131 |
| other Total, other adverse events | 51 / 88 | 172 / 351 | 3 / 9 | 45 / 131 |
| serious Total, serious adverse events | 0 / 88 | 17 / 351 | 0 / 9 | 6 / 131 |
Outcome results
Serious Adverse Events
Incidence, relationship and intensity of any Serious Adverse Event (SAE)
Time frame: within 32 weeks
Population: Full Analysis Set
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Healthy naïve | Serious Adverse Events | Any SAE | 0 Participants |
| Healthy naïve | Serious Adverse Events | Any SAE assessed as related to vaccine | 0 Participants |
| Healthy naïve | Serious Adverse Events | Any SAE with intensity >= Grade 3 | 0 Participants |
| HIV naïve | Serious Adverse Events | Any SAE | 17 Participants |
| HIV naïve | Serious Adverse Events | Any SAE assessed as related to vaccine | 1 Participants |
| HIV naïve | Serious Adverse Events | Any SAE with intensity >= Grade 3 | 15 Participants |
| Healthy Experienced | Serious Adverse Events | Any SAE with intensity >= Grade 3 | 0 Participants |
| Healthy Experienced | Serious Adverse Events | Any SAE | 0 Participants |
| Healthy Experienced | Serious Adverse Events | Any SAE assessed as related to vaccine | 0 Participants |
| HIV Experienced | Serious Adverse Events | Any SAE | 6 Participants |
| HIV Experienced | Serious Adverse Events | Any SAE assessed as related to vaccine | 0 Participants |
| HIV Experienced | Serious Adverse Events | Any SAE with intensity >= Grade 3 | 5 Participants |
CD4+ T-cell Counts
Median CD4+ T-cell counts over time
Time frame: within 32 weeks
Population: Full Analysis Set (HIV infected subjects)
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Healthy naïve | CD4+ T-cell Counts | Week 0 | 445.0 CD4 count (cells/µL) |
| Healthy naïve | CD4+ T-cell Counts | Week 1 | 434.5 CD4 count (cells/µL) |
| Healthy naïve | CD4+ T-cell Counts | Week 6 | 438.5 CD4 count (cells/µL) |
| Healthy naïve | CD4+ T-cell Counts | Week 32 | 403.5 CD4 count (cells/µL) |
| HIV naïve | CD4+ T-cell Counts | Week 32 | 435.0 CD4 count (cells/µL) |
| HIV naïve | CD4+ T-cell Counts | Week 0 | 456.0 CD4 count (cells/µL) |
| HIV naïve | CD4+ T-cell Counts | Week 6 | 447.0 CD4 count (cells/µL) |
| HIV naïve | CD4+ T-cell Counts | Week 1 | 455.0 CD4 count (cells/µL) |
CD8+ T-cell Counts
Median CD8+ T-cell counts over time
Time frame: within 32 weeks
Population: Full Analysis Set (HIV infected subjects)
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Healthy naïve | CD8+ T-cell Counts | Week 0 | 771.0 CD8 count (cells/µL) |
| Healthy naïve | CD8+ T-cell Counts | Week 1 | 779.0 CD8 count (cells/µL) |
| Healthy naïve | CD8+ T-cell Counts | Week 6 | 749.0 CD8 count (cells/µL) |
| Healthy naïve | CD8+ T-cell Counts | Week 32 | 834.0 CD8 count (cells/µL) |
| HIV naïve | CD8+ T-cell Counts | Week 32 | 729.0 CD8 count (cells/µL) |
| HIV naïve | CD8+ T-cell Counts | Week 0 | 877.5 CD8 count (cells/µL) |
| HIV naïve | CD8+ T-cell Counts | Week 6 | 798.5 CD8 count (cells/µL) |
| HIV naïve | CD8+ T-cell Counts | Week 1 | 848.0 CD8 count (cells/µL) |
ELISA GMT
Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Titers below the detection limit are included with a value of '1'.
Time frame: within 32 weeks
Population: Per-protocol Set
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Healthy naïve | ELISA GMT | Week 8 | 312.9 Titer |
| Healthy naïve | ELISA GMT | Week 4 | 56.2 Titer |
| Healthy naïve | ELISA GMT | Week 6 | 526.2 Titer |
| Healthy naïve | ELISA GMT | Week 0 | 1.9 Titer |
| Healthy naïve | ELISA GMT | Week 32 | 32.1 Titer |
| Healthy naïve | ELISA GMT | Week 1 | 3.7 Titer |
| HIV naïve | ELISA GMT | Week 8 | 175.5 Titer |
| HIV naïve | ELISA GMT | Week 4 | 46.6 Titer |
| HIV naïve | ELISA GMT | Week 0 | 4.6 Titer |
| HIV naïve | ELISA GMT | Week 1 | 9.4 Titer |
| HIV naïve | ELISA GMT | Week 6 | 299.8 Titer |
| HIV naïve | ELISA GMT | Week 32 | 24.3 Titer |
| Healthy Experienced | ELISA GMT | Week 1 | 260.6 Titer |
| Healthy Experienced | ELISA GMT | Week 32 | 89.5 Titer |
| Healthy Experienced | ELISA GMT | Week 0 | 37.1 Titer |
| Healthy Experienced | ELISA GMT | Week 4 | 461.1 Titer |
| Healthy Experienced | ELISA GMT | Week 6 | 612.9 Titer |
| Healthy Experienced | ELISA GMT | Week 8 | 403.4 Titer |
| HIV Experienced | ELISA GMT | Week 6 | 588.4 Titer |
| HIV Experienced | ELISA GMT | Week 32 | 203.9 Titer |
| HIV Experienced | ELISA GMT | Week 0 | 33.3 Titer |
| HIV Experienced | ELISA GMT | Week 1 | 89.9 Titer |
| HIV Experienced | ELISA GMT | Week 4 | 220.1 Titer |
| HIV Experienced | ELISA GMT | Week 8 | 453.1 Titer |
ELISA Seroconversion Rate
Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.
Time frame: within 32 weeks
Population: Per-protocol set
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Healthy naïve | ELISA Seroconversion Rate | Week 6 | 98.2 percentage of subjects |
| Healthy naïve | ELISA Seroconversion Rate | Week 1 | 24.6 percentage of subjects |
| Healthy naïve | ELISA Seroconversion Rate | Week 8 | 96.5 percentage of subjects |
| Healthy naïve | ELISA Seroconversion Rate | Week 32 | 66.7 percentage of subjects |
| Healthy naïve | ELISA Seroconversion Rate | Week 4 | 80.7 percentage of subjects |
| HIV naïve | ELISA Seroconversion Rate | Week 32 | 46.4 percentage of subjects |
| HIV naïve | ELISA Seroconversion Rate | Week 1 | 29.5 percentage of subjects |
| HIV naïve | ELISA Seroconversion Rate | Week 6 | 97.1 percentage of subjects |
| HIV naïve | ELISA Seroconversion Rate | Week 4 | 69.3 percentage of subjects |
| HIV naïve | ELISA Seroconversion Rate | Week 8 | 92.1 percentage of subjects |
| Healthy Experienced | ELISA Seroconversion Rate | Week 6 | 100.0 percentage of subjects |
| Healthy Experienced | ELISA Seroconversion Rate | Week 4 | 100.0 percentage of subjects |
| Healthy Experienced | ELISA Seroconversion Rate | Week 1 | 80.0 percentage of subjects |
| Healthy Experienced | ELISA Seroconversion Rate | Week 8 | 100.0 percentage of subjects |
| Healthy Experienced | ELISA Seroconversion Rate | Week 32 | 60.0 percentage of subjects |
| HIV Experienced | ELISA Seroconversion Rate | Week 8 | 90.1 percentage of subjects |
| HIV Experienced | ELISA Seroconversion Rate | Week 32 | 76.5 percentage of subjects |
| HIV Experienced | ELISA Seroconversion Rate | Week 4 | 79.1 percentage of subjects |
| HIV Experienced | ELISA Seroconversion Rate | Week 1 | 58.2 percentage of subjects |
| HIV Experienced | ELISA Seroconversion Rate | Week 6 | 94.5 percentage of subjects |
ELISPOT IFN-γ: Response Rate
Response rate based on number of subjects with response in an interferon gamma (IFN-γ) ELISPOT assay. Response is defined as the appearance of a signal in subjects that had no signal at Baseline or a relative increase by a factor of ≥1.7 compared to Baseline in subjects that had a signal at Baseline. Percentages based on number of subjects with data available.
Time frame: within 32 weeks
Population: Elispot Analysis Set (subset of the Per-protocol Set with ELISPOT data available)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Healthy naïve | ELISPOT IFN-γ: Response Rate | Week 1 | 39.1 percentage of subjects |
| Healthy naïve | ELISPOT IFN-γ: Response Rate | Week 4 | 39.1 percentage of subjects |
| Healthy naïve | ELISPOT IFN-γ: Response Rate | Week 6 | 47.8 percentage of subjects |
| Healthy naïve | ELISPOT IFN-γ: Response Rate | Week 8 | 30.4 percentage of subjects |
| Healthy naïve | ELISPOT IFN-γ: Response Rate | Week 32 | 52.4 percentage of subjects |
| HIV naïve | ELISPOT IFN-γ: Response Rate | Week 32 | 36.8 percentage of subjects |
| HIV naïve | ELISPOT IFN-γ: Response Rate | Week 6 | 40.0 percentage of subjects |
| HIV naïve | ELISPOT IFN-γ: Response Rate | Week 1 | 28.6 percentage of subjects |
| HIV naïve | ELISPOT IFN-γ: Response Rate | Week 4 | 20.0 percentage of subjects |
| HIV naïve | ELISPOT IFN-γ: Response Rate | Week 8 | 25.7 percentage of subjects |
| Healthy Experienced | ELISPOT IFN-γ: Response Rate | Week 32 | 50.0 percentage of subjects |
| Healthy Experienced | ELISPOT IFN-γ: Response Rate | Week 8 | 0.0 percentage of subjects |
| Healthy Experienced | ELISPOT IFN-γ: Response Rate | Week 6 | 0.0 percentage of subjects |
| Healthy Experienced | ELISPOT IFN-γ: Response Rate | Week 1 | 0.0 percentage of subjects |
| Healthy Experienced | ELISPOT IFN-γ: Response Rate | Week 4 | 33.3 percentage of subjects |
| HIV Experienced | ELISPOT IFN-γ: Response Rate | Week 4 | 29.4 percentage of subjects |
| HIV Experienced | ELISPOT IFN-γ: Response Rate | Week 1 | 26.5 percentage of subjects |
| HIV Experienced | ELISPOT IFN-γ: Response Rate | Week 32 | 23.1 percentage of subjects |
| HIV Experienced | ELISPOT IFN-γ: Response Rate | Week 6 | 29.4 percentage of subjects |
| HIV Experienced | ELISPOT IFN-γ: Response Rate | Week 8 | 29.4 percentage of subjects |
ELISPOT IFN-γ: SFU
Median number of interferon gamma (IFN-γ) secreting peripheral blood mononuclear cells (PBMC) in response to stimulation with MVA-BN detected by ELISPOT assay.
Time frame: within 32 weeks
Population: Elispot Analysis Set (subset of the Per-protocol Set with ELISPOT data available)
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Healthy naïve | ELISPOT IFN-γ: SFU | Week 4 | 93.0 Spot Forming Units / 10^6 PBMC |
| Healthy naïve | ELISPOT IFN-γ: SFU | Week 0 | 0.0 Spot Forming Units / 10^6 PBMC |
| Healthy naïve | ELISPOT IFN-γ: SFU | Week 8 | 0.0 Spot Forming Units / 10^6 PBMC |
| Healthy naïve | ELISPOT IFN-γ: SFU | Week 1 | 87.0 Spot Forming Units / 10^6 PBMC |
| Healthy naïve | ELISPOT IFN-γ: SFU | Week 6 | 99.0 Spot Forming Units / 10^6 PBMC |
| Healthy naïve | ELISPOT IFN-γ: SFU | Week 32 | 71.0 Spot Forming Units / 10^6 PBMC |
| HIV naïve | ELISPOT IFN-γ: SFU | Week 8 | 0.0 Spot Forming Units / 10^6 PBMC |
| HIV naïve | ELISPOT IFN-γ: SFU | Week 32 | 73.0 Spot Forming Units / 10^6 PBMC |
| HIV naïve | ELISPOT IFN-γ: SFU | Week 4 | 0.0 Spot Forming Units / 10^6 PBMC |
| HIV naïve | ELISPOT IFN-γ: SFU | Week 0 | 0.0 Spot Forming Units / 10^6 PBMC |
| HIV naïve | ELISPOT IFN-γ: SFU | Week 1 | 0.0 Spot Forming Units / 10^6 PBMC |
| HIV naïve | ELISPOT IFN-γ: SFU | Week 6 | 72.0 Spot Forming Units / 10^6 PBMC |
| Healthy Experienced | ELISPOT IFN-γ: SFU | Week 32 | 596.0 Spot Forming Units / 10^6 PBMC |
| Healthy Experienced | ELISPOT IFN-γ: SFU | Week 1 | 71.0 Spot Forming Units / 10^6 PBMC |
| Healthy Experienced | ELISPOT IFN-γ: SFU | Week 8 | 71.0 Spot Forming Units / 10^6 PBMC |
| Healthy Experienced | ELISPOT IFN-γ: SFU | Week 4 | 569.0 Spot Forming Units / 10^6 PBMC |
| Healthy Experienced | ELISPOT IFN-γ: SFU | Week 6 | 54.0 Spot Forming Units / 10^6 PBMC |
| Healthy Experienced | ELISPOT IFN-γ: SFU | Week 0 | 155.0 Spot Forming Units / 10^6 PBMC |
| HIV Experienced | ELISPOT IFN-γ: SFU | Week 32 | 0.0 Spot Forming Units / 10^6 PBMC |
| HIV Experienced | ELISPOT IFN-γ: SFU | Week 8 | 53.0 Spot Forming Units / 10^6 PBMC |
| HIV Experienced | ELISPOT IFN-γ: SFU | Week 1 | 0.0 Spot Forming Units / 10^6 PBMC |
| HIV Experienced | ELISPOT IFN-γ: SFU | Week 0 | 0.0 Spot Forming Units / 10^6 PBMC |
| HIV Experienced | ELISPOT IFN-γ: SFU | Week 6 | 57.5 Spot Forming Units / 10^6 PBMC |
| HIV Experienced | ELISPOT IFN-γ: SFU | Week 4 | 0.0 Spot Forming Units / 10^6 PBMC |
PRNT GMT
Geometric Mean Titers (GMT) based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Titers below the detection limit are included with a value of '1'.
Time frame: within 32 weeks
Population: Per-protocol Set
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Healthy naïve | PRNT GMT | Week 1 | 1.6 Titer |
| Healthy naïve | PRNT GMT | Week 6 | 20.8 Titer |
| Healthy naïve | PRNT GMT | Week 4 | 2.1 Titer |
| Healthy naïve | PRNT GMT | Week 32 | 2.8 Titer |
| Healthy naïve | PRNT GMT | Week 8 | 14.8 Titer |
| Healthy naïve | PRNT GMT | Week 0 | 1.3 Titer |
| HIV naïve | PRNT GMT | Week 8 | 9.7 Titer |
| HIV naïve | PRNT GMT | Week 1 | 2.9 Titer |
| HIV naïve | PRNT GMT | Week 32 | 3.3 Titer |
| HIV naïve | PRNT GMT | Week 4 | 3.7 Titer |
| HIV naïve | PRNT GMT | Week 0 | 2.0 Titer |
| HIV naïve | PRNT GMT | Week 6 | 13.0 Titer |
| Healthy Experienced | PRNT GMT | Week 1 | 108.9 Titer |
| Healthy Experienced | PRNT GMT | Week 0 | 12.0 Titer |
| Healthy Experienced | PRNT GMT | Week 8 | 171.2 Titer |
| Healthy Experienced | PRNT GMT | Week 32 | 58.0 Titer |
| Healthy Experienced | PRNT GMT | Week 6 | 354.5 Titer |
| Healthy Experienced | PRNT GMT | Week 4 | 100.2 Titer |
| HIV Experienced | PRNT GMT | Week 32 | 53.1 Titer |
| HIV Experienced | PRNT GMT | Week 0 | 5.5 Titer |
| HIV Experienced | PRNT GMT | Week 1 | 20.5 Titer |
| HIV Experienced | PRNT GMT | Week 4 | 42.3 Titer |
| HIV Experienced | PRNT GMT | Week 6 | 88.9 Titer |
| HIV Experienced | PRNT GMT | Week 8 | 76.1 Titer |
PRNT Seroconversion Rate
Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (6) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.
Time frame: within 32 weeks
Population: Per-protocol set
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Healthy naïve | PRNT Seroconversion Rate | Week 8 | 78.9 percentage of subjects |
| Healthy naïve | PRNT Seroconversion Rate | Week 1 | 5.3 percentage of subjects |
| Healthy naïve | PRNT Seroconversion Rate | Week 6 | 78.9 percentage of subjects |
| Healthy naïve | PRNT Seroconversion Rate | Week 4 | 17.5 percentage of subjects |
| Healthy naïve | PRNT Seroconversion Rate | Week 32 | 16.7 percentage of subjects |
| HIV naïve | PRNT Seroconversion Rate | Week 1 | 14.5 percentage of subjects |
| HIV naïve | PRNT Seroconversion Rate | Week 8 | 52.7 percentage of subjects |
| HIV naïve | PRNT Seroconversion Rate | Week 4 | 21.6 percentage of subjects |
| HIV naïve | PRNT Seroconversion Rate | Week 32 | 12.5 percentage of subjects |
| HIV naïve | PRNT Seroconversion Rate | Week 6 | 58.1 percentage of subjects |
| Healthy Experienced | PRNT Seroconversion Rate | Week 8 | 80.0 percentage of subjects |
| Healthy Experienced | PRNT Seroconversion Rate | Week 1 | 60.0 percentage of subjects |
| Healthy Experienced | PRNT Seroconversion Rate | Week 6 | 80.0 percentage of subjects |
| Healthy Experienced | PRNT Seroconversion Rate | Week 32 | 60.0 percentage of subjects |
| Healthy Experienced | PRNT Seroconversion Rate | Week 4 | 60.0 percentage of subjects |
| HIV Experienced | PRNT Seroconversion Rate | Week 4 | 62.6 percentage of subjects |
| HIV Experienced | PRNT Seroconversion Rate | Week 1 | 45.1 percentage of subjects |
| HIV Experienced | PRNT Seroconversion Rate | Week 32 | 64.7 percentage of subjects |
| HIV Experienced | PRNT Seroconversion Rate | Week 8 | 78.0 percentage of subjects |
| HIV Experienced | PRNT Seroconversion Rate | Week 6 | 76.9 percentage of subjects |
Related Grade >=3 Adverse Events
Incidence of any Grade 3 or higher adverse drug reaction (missing, unknown, not evaluable, possibly, probably, or definitely related) to the study vaccine
Time frame: within 29 days after any vaccination
Population: Full Analysis set
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Healthy naïve | Related Grade >=3 Adverse Events | 7 Participants |
| HIV naïve | Related Grade >=3 Adverse Events | 26 Participants |
| Healthy Experienced | Related Grade >=3 Adverse Events | 0 Participants |
| HIV Experienced | Related Grade >=3 Adverse Events | 5 Participants |
Solicited General Adverse Events
Incidence of solicited general AEs (increased body temperature, headache, myalgia, chills, nausea, and fatigue): Intensity and relationship to vaccination. Percentages based on subjects with at least one completed diary card.
Time frame: within 8 days after any vaccination
Population: Full Analysis Set
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Healthy naïve | Solicited General Adverse Events | Headache: Related | 29 Participants |
| Healthy naïve | Solicited General Adverse Events | Fatigue: Any | 28 Participants |
| Healthy naïve | Solicited General Adverse Events | Chills: Grade >=3 | 0 Participants |
| Healthy naïve | Solicited General Adverse Events | Nausea: Any | 15 Participants |
| Healthy naïve | Solicited General Adverse Events | Headache: Any | 40 Participants |
| Healthy naïve | Solicited General Adverse Events | Nausea: Related | 12 Participants |
| Healthy naïve | Solicited General Adverse Events | Nausea: Grade >=3 | 3 Participants |
| Healthy naïve | Solicited General Adverse Events | Increased body temperature: Any | 9 Participants |
| Healthy naïve | Solicited General Adverse Events | Headache: Grade >=3 | 5 Participants |
| Healthy naïve | Solicited General Adverse Events | Myalgia: Any | 30 Participants |
| Healthy naïve | Solicited General Adverse Events | Increased body temperature: Related | 5 Participants |
| Healthy naïve | Solicited General Adverse Events | Fatigue: Grade >=3 | 2 Participants |
| Healthy naïve | Solicited General Adverse Events | Myalgia: Related | 28 Participants |
| Healthy naïve | Solicited General Adverse Events | Myalgia: Grade >=3 | 4 Participants |
| Healthy naïve | Solicited General Adverse Events | Increased body temperature: Grade >=3 | 0 Participants |
| Healthy naïve | Solicited General Adverse Events | Fatigue: Related | 22 Participants |
| Healthy naïve | Solicited General Adverse Events | Chills: Any | 12 Participants |
| Healthy naïve | Solicited General Adverse Events | Chills: Related | 6 Participants |
| HIV naïve | Solicited General Adverse Events | Myalgia: Grade >=3 | 11 Participants |
| HIV naïve | Solicited General Adverse Events | Myalgia: Any | 122 Participants |
| HIV naïve | Solicited General Adverse Events | Increased body temperature: Grade >=3 | 2 Participants |
| HIV naïve | Solicited General Adverse Events | Chills: Grade >=3 | 3 Participants |
| HIV naïve | Solicited General Adverse Events | Fatigue: Any | 108 Participants |
| HIV naïve | Solicited General Adverse Events | Nausea: Any | 52 Participants |
| HIV naïve | Solicited General Adverse Events | Chills: Related | 42 Participants |
| HIV naïve | Solicited General Adverse Events | Nausea: Grade >=3 | 7 Participants |
| HIV naïve | Solicited General Adverse Events | Myalgia: Related | 100 Participants |
| HIV naïve | Solicited General Adverse Events | Nausea: Related | 42 Participants |
| HIV naïve | Solicited General Adverse Events | Headache: Any | 117 Participants |
| HIV naïve | Solicited General Adverse Events | Increased body temperature: Any | 26 Participants |
| HIV naïve | Solicited General Adverse Events | Fatigue: Related | 84 Participants |
| HIV naïve | Solicited General Adverse Events | Increased body temperature: Related | 17 Participants |
| HIV naïve | Solicited General Adverse Events | Chills: Any | 58 Participants |
| HIV naïve | Solicited General Adverse Events | Headache: Grade >=3 | 11 Participants |
| HIV naïve | Solicited General Adverse Events | Headache: Related | 86 Participants |
| HIV naïve | Solicited General Adverse Events | Fatigue: Grade >=3 | 11 Participants |
| Healthy Experienced | Solicited General Adverse Events | Fatigue: Grade >=3 | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Increased body temperature: Any | 1 Participants |
| Healthy Experienced | Solicited General Adverse Events | Increased body temperature: Related | 1 Participants |
| Healthy Experienced | Solicited General Adverse Events | Headache: Any | 1 Participants |
| Healthy Experienced | Solicited General Adverse Events | Headache: Grade >=3 | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Myalgia: Any | 1 Participants |
| Healthy Experienced | Solicited General Adverse Events | Myalgia: Related | 1 Participants |
| Healthy Experienced | Solicited General Adverse Events | Myalgia: Grade >=3 | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Chills: Any | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Chills: Related | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Nausea: Any | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Nausea: Related | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Nausea: Grade >=3 | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Fatigue: Any | 2 Participants |
| Healthy Experienced | Solicited General Adverse Events | Fatigue: Related | 1 Participants |
| Healthy Experienced | Solicited General Adverse Events | Increased body temperature: Grade >=3 | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Headache: Related | 0 Participants |
| Healthy Experienced | Solicited General Adverse Events | Chills: Grade >=3 | 0 Participants |
| HIV Experienced | Solicited General Adverse Events | Increased body temperature: Any | 15 Participants |
| HIV Experienced | Solicited General Adverse Events | Fatigue: Any | 40 Participants |
| HIV Experienced | Solicited General Adverse Events | Myalgia: Grade >=3 | 3 Participants |
| HIV Experienced | Solicited General Adverse Events | Myalgia: Related | 26 Participants |
| HIV Experienced | Solicited General Adverse Events | Chills: Grade >=3 | 1 Participants |
| HIV Experienced | Solicited General Adverse Events | Fatigue: Related | 29 Participants |
| HIV Experienced | Solicited General Adverse Events | Myalgia: Any | 35 Participants |
| HIV Experienced | Solicited General Adverse Events | Headache: Grade >=3 | 5 Participants |
| HIV Experienced | Solicited General Adverse Events | Fatigue: Grade >=3 | 3 Participants |
| HIV Experienced | Solicited General Adverse Events | Headache: Related | 17 Participants |
| HIV Experienced | Solicited General Adverse Events | Increased body temperature: Related | 11 Participants |
| HIV Experienced | Solicited General Adverse Events | Headache: Any | 29 Participants |
| HIV Experienced | Solicited General Adverse Events | Nausea: Related | 12 Participants |
| HIV Experienced | Solicited General Adverse Events | Nausea: Any | 22 Participants |
| HIV Experienced | Solicited General Adverse Events | Increased body temperature: Grade >=3 | 0 Participants |
| HIV Experienced | Solicited General Adverse Events | Nausea: Grade >=3 | 4 Participants |
| HIV Experienced | Solicited General Adverse Events | Chills: Related | 7 Participants |
| HIV Experienced | Solicited General Adverse Events | Chills: Any | 11 Participants |
Solicited Local Adverse Events
Incidence and intensity of solicited local AEs (pain, erythema, swelling). Percentages based on subjects with at least one completed diary card.
Time frame: within 8 days after any vaccination
Population: Full Analysis Set
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Healthy naïve | Solicited Local Adverse Events | Pain: Any | 79 Participants |
| Healthy naïve | Solicited Local Adverse Events | Pain: Grade >=3 | 9 Participants |
| Healthy naïve | Solicited Local Adverse Events | Erythema: Any | 68 Participants |
| Healthy naïve | Solicited Local Adverse Events | Swelling: Any | 56 Participants |
| Healthy naïve | Solicited Local Adverse Events | Swelling: Grade >=3 | 1 Participants |
| Healthy naïve | Solicited Local Adverse Events | Erythema: Grade >=3 | 2 Participants |
| HIV naïve | Solicited Local Adverse Events | Swelling: Grade >=3 | 1 Participants |
| HIV naïve | Solicited Local Adverse Events | Swelling: Any | 139 Participants |
| HIV naïve | Solicited Local Adverse Events | Pain: Any | 246 Participants |
| HIV naïve | Solicited Local Adverse Events | Erythema: Grade >=3 | 1 Participants |
| HIV naïve | Solicited Local Adverse Events | Pain: Grade >=3 | 28 Participants |
| HIV naïve | Solicited Local Adverse Events | Erythema: Any | 160 Participants |
| Healthy Experienced | Solicited Local Adverse Events | Pain: Grade >=3 | 1 Participants |
| Healthy Experienced | Solicited Local Adverse Events | Erythema: Grade >=3 | 0 Participants |
| Healthy Experienced | Solicited Local Adverse Events | Swelling: Any | 6 Participants |
| Healthy Experienced | Solicited Local Adverse Events | Swelling: Grade >=3 | 0 Participants |
| Healthy Experienced | Solicited Local Adverse Events | Pain: Any | 7 Participants |
| Healthy Experienced | Solicited Local Adverse Events | Erythema: Any | 7 Participants |
| HIV Experienced | Solicited Local Adverse Events | Erythema: Grade >=3 | 0 Participants |
| HIV Experienced | Solicited Local Adverse Events | Erythema: Any | 61 Participants |
| HIV Experienced | Solicited Local Adverse Events | Pain: Grade >=3 | 4 Participants |
| HIV Experienced | Solicited Local Adverse Events | Swelling: Any | 52 Participants |
| HIV Experienced | Solicited Local Adverse Events | Pain: Any | 79 Participants |
| HIV Experienced | Solicited Local Adverse Events | Swelling: Grade >=3 | 0 Participants |
Unsolicited Adverse Events: Incidence
Incidence of any unsolicited adverse events
Time frame: within 29 days after any vaccination
Population: Full Analysis Set
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Healthy naïve | Unsolicited Adverse Events: Incidence | 59 Participants |
| HIV naïve | Unsolicited Adverse Events: Incidence | 236 Participants |
| Healthy Experienced | Unsolicited Adverse Events: Incidence | 3 Participants |
| HIV Experienced | Unsolicited Adverse Events: Incidence | 73 Participants |
Unsolicited Adverse Events: Intensity
Occurrence of unsolicited adverse events by Intensity
Time frame: within 29 days after any vaccination
Population: Full Analysis Set
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Healthy naïve | Unsolicited Adverse Events: Intensity | Missing | 0 events |
| Healthy naïve | Unsolicited Adverse Events: Intensity | Total | 149 events |
| Healthy naïve | Unsolicited Adverse Events: Intensity | Grade 4 | 0 events |
| Healthy naïve | Unsolicited Adverse Events: Intensity | Grade 1 | 113 events |
| Healthy naïve | Unsolicited Adverse Events: Intensity | Grade 3 | 4 events |
| Healthy naïve | Unsolicited Adverse Events: Intensity | Grade 2 | 32 events |
| HIV naïve | Unsolicited Adverse Events: Intensity | Grade 1 | 410 events |
| HIV naïve | Unsolicited Adverse Events: Intensity | Missing | 0 events |
| HIV naïve | Unsolicited Adverse Events: Intensity | Grade 4 | 3 events |
| HIV naïve | Unsolicited Adverse Events: Intensity | Total | 590 events |
| HIV naïve | Unsolicited Adverse Events: Intensity | Grade 2 | 143 events |
| HIV naïve | Unsolicited Adverse Events: Intensity | Grade 3 | 34 events |
| Healthy Experienced | Unsolicited Adverse Events: Intensity | Grade 4 | 0 events |
| Healthy Experienced | Unsolicited Adverse Events: Intensity | Grade 1 | 3 events |
| Healthy Experienced | Unsolicited Adverse Events: Intensity | Grade 2 | 2 events |
| Healthy Experienced | Unsolicited Adverse Events: Intensity | Missing | 0 events |
| Healthy Experienced | Unsolicited Adverse Events: Intensity | Grade 3 | 1 events |
| Healthy Experienced | Unsolicited Adverse Events: Intensity | Total | 6 events |
| HIV Experienced | Unsolicited Adverse Events: Intensity | Grade 2 | 28 events |
| HIV Experienced | Unsolicited Adverse Events: Intensity | Total | 175 events |
| HIV Experienced | Unsolicited Adverse Events: Intensity | Grade 1 | 134 events |
| HIV Experienced | Unsolicited Adverse Events: Intensity | Missing | 0 events |
| HIV Experienced | Unsolicited Adverse Events: Intensity | Grade 3 | 13 events |
| HIV Experienced | Unsolicited Adverse Events: Intensity | Grade 4 | 0 events |
Unsolicited Adverse Events: Relationship to Vaccination
Occurrence of unsolicited adverse events by relationship to study vaccine
Time frame: within 29 days after any vaccination
Population: Full Analysis Set
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Healthy naïve | Unsolicited Adverse Events: Relationship to Vaccination | Unrelated/None | 45 events |
| Healthy naïve | Unsolicited Adverse Events: Relationship to Vaccination | Total | 149 events |
| Healthy naïve | Unsolicited Adverse Events: Relationship to Vaccination | Unlikely | 40 events |
| Healthy naïve | Unsolicited Adverse Events: Relationship to Vaccination | Possible | 22 events |
| Healthy naïve | Unsolicited Adverse Events: Relationship to Vaccination | Definite | 26 events |
| Healthy naïve | Unsolicited Adverse Events: Relationship to Vaccination | Probable | 16 events |
| Healthy naïve | Unsolicited Adverse Events: Relationship to Vaccination | Missing | 0 events |
| HIV naïve | Unsolicited Adverse Events: Relationship to Vaccination | Possible | 109 events |
| HIV naïve | Unsolicited Adverse Events: Relationship to Vaccination | Definite | 31 events |
| HIV naïve | Unsolicited Adverse Events: Relationship to Vaccination | Total | 590 events |
| HIV naïve | Unsolicited Adverse Events: Relationship to Vaccination | Unrelated/None | 236 events |
| HIV naïve | Unsolicited Adverse Events: Relationship to Vaccination | Missing | 2 events |
| HIV naïve | Unsolicited Adverse Events: Relationship to Vaccination | Unlikely | 167 events |
| HIV naïve | Unsolicited Adverse Events: Relationship to Vaccination | Probable | 45 events |
| Healthy Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Probable | 1 events |
| Healthy Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Unrelated/None | 0 events |
| Healthy Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Definite | 3 events |
| Healthy Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Missing | 0 events |
| Healthy Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Total | 6 events |
| Healthy Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Unlikely | 1 events |
| Healthy Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Possible | 1 events |
| HIV Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Total | 175 events |
| HIV Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Missing | 0 events |
| HIV Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Unrelated/None | 87 events |
| HIV Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Possible | 23 events |
| HIV Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Definite | 11 events |
| HIV Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Probable | 12 events |
| HIV Experienced | Unsolicited Adverse Events: Relationship to Vaccination | Unlikely | 42 events |
Viral Load
Viral load (HIV-1 RNA levels) over time
Time frame: within 32 weeks
Population: Full Analysis Set (HIV infected subjects)
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Healthy naïve | Viral Load | Week 32 | 1000 - <10000 | 4 Participants |
| Healthy naïve | Viral Load | Week 1 | >=10000 | 22 Participants |
| Healthy naïve | Viral Load | Week 6 | Missing | 31 Participants |
| Healthy naïve | Viral Load | Week 6 | <400 | 240 Participants |
| Healthy naïve | Viral Load | Week 6 | 400 - <1000 | 18 Participants |
| Healthy naïve | Viral Load | Week 0 | Missing | 13 Participants |
| Healthy naïve | Viral Load | Week 0 | <400 | 262 Participants |
| Healthy naïve | Viral Load | Week 0 | 400 - <1000 | 11 Participants |
| Healthy naïve | Viral Load | Week 0 | 1000 - <10000 | 42 Participants |
| Healthy naïve | Viral Load | Week 0 | >=10000 | 23 Participants |
| Healthy naïve | Viral Load | Week 1 | Missing | 15 Participants |
| Healthy naïve | Viral Load | Week 1 | <400 | 257 Participants |
| Healthy naïve | Viral Load | Week 1 | 400 - <1000 | 13 Participants |
| Healthy naïve | Viral Load | Week 1 | 1000 - <10000 | 44 Participants |
| Healthy naïve | Viral Load | Week 6 | 1000 - <10000 | 41 Participants |
| Healthy naïve | Viral Load | Week 6 | >=10000 | 21 Participants |
| Healthy naïve | Viral Load | Week 32 | Missing | 275 Participants |
| Healthy naïve | Viral Load | Week 32 | >=10000 | 8 Participants |
| Healthy naïve | Viral Load | Week 32 | <400 | 59 Participants |
| Healthy naïve | Viral Load | Week 32 | 400 - <1000 | 5 Participants |
| HIV naïve | Viral Load | Week 32 | Missing | 108 Participants |
| HIV naïve | Viral Load | Week 1 | <400 | 113 Participants |
| HIV naïve | Viral Load | Week 1 | >=10000 | 4 Participants |
| HIV naïve | Viral Load | Week 32 | 1000 - <10000 | 1 Participants |
| HIV naïve | Viral Load | Week 6 | Missing | 10 Participants |
| HIV naïve | Viral Load | Week 1 | 400 - <1000 | 2 Participants |
| HIV naïve | Viral Load | Week 6 | <400 | 105 Participants |
| HIV naïve | Viral Load | Week 1 | 1000 - <10000 | 5 Participants |
| HIV naïve | Viral Load | Week 6 | 400 - <1000 | 3 Participants |
| HIV naïve | Viral Load | Week 0 | Missing | 5 Participants |
| HIV naïve | Viral Load | Week 32 | >=10000 | 0 Participants |
| HIV naïve | Viral Load | Week 0 | <400 | 112 Participants |
| HIV naïve | Viral Load | Week 6 | 1000 - <10000 | 6 Participants |
| HIV naïve | Viral Load | Week 0 | 400 - <1000 | 3 Participants |
| HIV naïve | Viral Load | Week 32 | 400 - <1000 | 0 Participants |
| HIV naïve | Viral Load | Week 0 | 1000 - <10000 | 6 Participants |
| HIV naïve | Viral Load | Week 6 | >=10000 | 7 Participants |
| HIV naïve | Viral Load | Week 0 | >=10000 | 5 Participants |
| HIV naïve | Viral Load | Week 32 | <400 | 22 Participants |
| HIV naïve | Viral Load | Week 1 | Missing | 7 Participants |