A Clinical Trial to Evaluate the Safety and Immunogenicity of CH505M5 N197D mRNA-gp160 Followed by CH505 TF mRNA-gp160 in Adults in Overall Good Health Without HIV

Last updated: September 15, 2025
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)
Overall Status: Active - Recruiting

Phase

1

Condition

Hiv Infections

Treatment

CH505 TF mRNA-gp160

CH505M5 N197D mRNA-gp160

Clinical Study ID

NCT06557785
HVTN 312
39019
  • Ages 18-55
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This is a multicenter, open-label, non-randomized, dose escalation, first-in-human (FIH) trial to evaluate the safety and immunogenicity of CH505M5 N197D mRNA-gp160 and CH505 TF mRNA-gp160. Both products are mRNA encapsulated in lipid nanoparticles (LNPs) (subsequently referred to as mRNA-LNPs). The primary hypotheses are:

  1. the CH505M5 N197D mRNA-gp160 will expand CH235-like B cell precursors,

  2. the CH505 TF mRNA-gp160 will boost CH235-like bnAb B cell precursors to acquire more functional mutations needed for broadly neutralizing antibody (bnAb) development, and

  3. these mRNA-LNPs will be safe and well tolerated among individuals living without HIV.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Demonstrates an understanding of the study and is able and willing to complete theinformed consent process.

  2. 18 to 55 years old, inclusive, on day of enrollment.

  3. Available for clinic follow-up through the last clinic visit and willing to undergoFNA of an axillary lymph node and undergo leukapheresis.

  4. Agrees not to enroll in another study of an investigational agent duringparticipation in the trial. If a potential participant is already enrolled inanother clinical trial, approvals from the other trial sponsor and the HVTN 312Protocol Safety Review Team (PSRT) are required prior to enrollment into HVTN 312.

  5. In good general health according to the clinical judgment of the site investigator.

  6. Physical examination and laboratory results without clinically significant findingsthat would interfere with assessment of safety or reactogenicity in the clinicaljudgement of the site investigator.

  7. For US sites: Agrees to discuss their potential for HIV acquisition and agrees toprevention counseling.

  8. For non-US sites: Assessed by clinical staff as having a low likelihood of acquiringHIV per guidelines, agrees to discuss their potential for HIV acquisition, agrees toprevention counseling, and agrees to avoid behaviors associated with a higherlikelihood of acquiring HIV through the final study visit. "Low likelihood" mayinclude persons stably taking pre-exposure prophylaxis (PrEP) as prescribed.

  9. Hemoglobin (Hgb):

  • ≥ 11.0 g/dL for AFAB volunteers

  • ≥ 13.0 g/dL for cisgender AMAB volunteers or for volunteers who have been onmasculinizing hormone therapy for more than 6 consecutive months

  • ≥ 12.0 g/dL for AMAB volunteers who have been on feminizing hormone therapy formore than 6 consecutive months

  • For volunteers who have been on gender-affirming hormone therapy for less than 6 consecutive months, determine Hgb eligibility based on their sex assigned atbirth.

  1. White blood cell (WBC) count = 2,500 to 12,000/mm3 (WBC over 12,000/mm3 is notexclusionary if further evaluation shows general good health and if PSRT approval isgranted).

  2. Platelets = 125,000 to 550,000/mm3.

  3. Alanine aminotransferase (ALT) < 2.5 x upper limit of institutional reference range.

  4. Serum creatinine ≤ 1.1 x upper limit of normal (ULN) based on the institutionalnormal range.

  5. Total measured or corrected serum calcium level of > 8.5 mg/dL. Corrected serumcalcium should only be used if the total serum calcium is below the lower limit ofnormal.

  6. Systolic blood pressure of 90 to < 140 mmHg and diastolic blood pressure of 50 to < 90 mmHg at screening visit. The average blood pressure between the screening visitand the enrollment visit must be below 140 mmHg systolic and 90 mmHg diastolic. Asingle measurement ≥ 160 systolic mmHg or 100 mmHg diastolic during the currentstudy evaluation is exclusionary.

  7. Negative HIV test results by one of the following options: For US volunteers:

  • US Food and Drug Administration (FDA)-approved enzyme immunoassay (EIA)

  • Chemiluminescent microparticle immunoassay (CMIA)

  • Two negative results on HIV rapid tests (one of which must be FDA-approvedCMIA) For non-US volunteers:

  • A negative European Conformity (CE)-marked enzyme immunoassay (EIA)

  • A chemiluminescent microparticle immunoassay (CMIA)

  • A negative result on 2 HIV rapid tests (one of these rapid tests must beCE-marked)

  1. Negative for anti-Hepatitis C virus (HCV) Abs (anti-HCV) or negative HCV nucleicacid test (NAT) if anti-HCV Abs are detected.

  2. Negative for Hepatitis B surface Ag.

  3. For AFAB or intersex at birth volunteers who are capable of becoming pregnant (hereafter referred to as "persons of pregnancy potential"):

  • Must agree to use effective means of contraception from at least 21 days priorto enrollment through 8 weeks after their last scheduled vaccination timepoint.

  • Must have a negative beta human chorionic gonadotropin (β-HCG) pregnancy test (urine or serum) on the day of enrollment.

  1. AFAB or intersex at birth volunteers must agree to not seek pregnancy throughalternative methods, such as oocyte retrieval, artificial insemination, or in vitrofertilization from at least 21 days prior to enrollment through 8 weeks after theirlast scheduled vaccination timepoint.

Exclusion

Exclusion Criteria:

  1. Volunteer who is breastfeeding/chestfeeding or pregnant.

  2. Body mass index (BMI) ≥ 40. Enrollment of individuals with BMI ≥ 40, whom the siteinvestigator assesses are in good health, may be considered by PSRT approval.

  3. Diabetes mellitus (DM). Type 2 DM controlled with diet alone (and confirmed byHgbA1c ≤ 8% within the last 6 months) or a history of isolated gestational diabetesare not exclusionary. Enrollment of individuals with Type 2 DM that is wellcontrolled on hypoglycemic agent(s) may be considered by the PSRT on a case-by-casebasis, provided that the HgbA1c is ≤ 8% within the last 6 months (sites may drawthese at screening).

  4. Previous or current recipient of an investigational HIV vaccine or HIV mAb (previousplacebo/control recipients are not excluded).

  5. Receipt of non-HIV investigational vaccine(s) received within the last 1 year.Exceptions include vaccines that have subsequently undergone licensure or EmergencyUse Authorization (EUA) by the FDA or World Health Organization (WHO) Emergency UseListing (EUL), or if outside the US, by the national Regulatory Authority (RA)authorizing this clinical trial.

  6. Congenital or acquired immunodeficiency, including systemic medication use likely toimpair immune response to vaccine in the opinion of the site investigator, such asglucocorticoid use, ≥ prednisone 10 mg/day within 3 months prior to enrollment.

  7. Blood products or immunoglobulin within 16 weeks prior to enrollment; receipt ofimmunoglobulin within 16 weeks prior to enrollment requires PSRT approval.

  8. Receipt of any of the following within 4 weeks prior to enrollment:

  • Live replicating vaccine

  • Any mRNA-based vaccine with FDA licensure, FDA EUA, or WHO EUL

  • ACAM2000 vaccine > 28 days prior with a vaccination scab still present.

  1. Receipt of any vaccine that is not covered in exclusion criterion #8 within 14 daysprior to enrollment. Please note this includes replication-incompetent vaccines suchas the Jynneos vaccine for the prevention of mpox disease.

  2. History of myocarditis and/or pericarditis.

  3. Initiation of Ag-based immunotherapy for allergies within the previous year (stableimmunotherapy is not exclusionary); inclusion of participants who initiatedimmunotherapy within the previous year requires PSRT approval.

  4. Receipt of investigational research agents with a half-life of 7 or fewer dayswithin 4 weeks prior to enrollment. If a potential participant has receivedinvestigational agents with a half-life of more than 7 days (or unknown half-life)within the past year, PSRT approval is required for enrollment.

  5. History of serious reaction (eg, hypersensitivity, anaphylaxis) to any mRNA vaccine,including Comirnaty® (Pfizer) and Spikevax® (Moderna), or to any drug administeredsystemically as a polyethylene glycol containing LNP, including doxorubicin (Doxil,Caelyx, ThermoDox), cisplatin (Lipoplatin) and irinotecan (Onivyde).

  6. Hereditary angioedema, acquired angioedema, or idiopathic forms of angioedema.

  7. Urticaria within the last year unless it was caused by a known, definable, andavoidable trigger (ie, urticaria by a known, definable and avoidable trigger wouldnot be exclusionary).

  8. History of chronic urticaria or urticaria previously associated with immunization.

  9. Bleeding disorder diagnosed by a clinician that would make study procedures acontraindication.

  10. History of seizure(s) within the past 3 years. Also exclude if volunteer has usedmedications in order to prevent or treat seizure(s) at any time within the past 3years.

  11. Asplenia or functional asplenia.

  12. Active duty and reserve US military personnel.

  13. Any other chronic or clinically significant condition that, in the clinical judgmentof the investigator, would jeopardize the safety or rights of the study participant,hinder their ability to participate in the study, or affect their immune responsesto study products. Such conditions include but not limited to: clinicallysignificant forms of substance use or alcohol use disorder(s), serious psychiatricdisorders, any suicide attempt within the past 1 year (if between 1 and 2 years,consult PSRT for approval), or cancer that, in the clinical judgement of the siteinvestigator, has potential for recurrence (excluding basal cell carcinoma).

  14. Asthma is excluded if the participant has ANY of the following:

  • Required either oral or parenteral corticosteroids for an exacerbation 2 ormore times within the past year; OR

  • Needed emergency care, urgent care, hospitalization, or intubation for an acuteasthma exacerbation within the past year (eg, would NOT exclude individualswith asthma who meet all other criteria but sought urgent/emergent care solelyfor asthma medication refills or coexisting conditions unrelated to asthma); OR

  • Uses a short-acting rescue inhaler more than 2 days per week for acute asthmasymptoms (ie, not for preventive treatment prior to athletic activity); OR

  • Uses medium- to high-dose inhaled corticosteroids (> 250 mcg fluticasone ortherapeutic equivalent per day), whether in single-therapy or dual-therapyinhalers (ie, with a long-acting beta agonist [LABA]); OR

  • Uses more than 1 medication for maintenance therapy daily. Inclusion of anyoneon a stable dose of more than 1 medication for maintenance therapy daily forgreater than 2 years requires PSRT approval.

  1. A participant with a history of a potential immune-mediated medical condition (PIMMC), either active or remote. Not exclusionary: 1) Remote history of Bell'spalsy (> 2 years ago) not associated with other neurologic symptoms and 2) mildpsoriasis or other mild, uncomplicated, localized or dermatologic condition thatdoes not require ongoing systemic treatment.

  2. History of allergy to local anesthetic (Novocain, Lidocaine).

  3. Investigator concern for difficulty with venous access based on clinical history andphysical examination. For example, persons with a history of IV drug use orsubstantial difficulty with previous blood draws.

Study Design

Total Participants: 48
Treatment Group(s): 2
Primary Treatment: CH505 TF mRNA-gp160
Phase: 1
Study Start date:
November 25, 2024
Estimated Completion Date:
January 03, 2026

Connect with a study center

  • Vaccine Trial Centre, Mahidol University CRS (Site ID: 32021)

    Bangkok, Ratchathewi 10400
    Thailand

    Site Not Available

  • Vaccine Trial Centre, Mahidol University CRS (Site ID: 32021)

    Bangkok 1609350, Ratchathewi 10400
    Thailand

    Site Not Available

  • Beth Israel Deaconess Medical Center (Site ID: 32077)

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Beth Israel Deaconess Medical Center (Site ID: 32077)

    Boston 4930956, Massachusetts 6254926 02215
    United States

    Site Not Available

  • Columbia P&S (Site ID: 30329)

    New York, New York 10032
    United States

    Active - Recruiting

  • New York Blood Center (Site ID: 31801)

    New York, New York 10065
    United States

    Site Not Available

  • Columbia P&S (Site ID: 30329)

    New York 5128581, New York 5128638 10032
    United States

    Active - Recruiting

  • New York Blood Center (Site ID: 31801)

    New York 5128581, New York 5128638 10065
    United States

    Completed

  • Penn Prevention (Site ID: 30310)

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • University of Pittsburgh (Site ID: 1001)

    Pittsburgh, Pennsylvania 15213
    United States

    Site Not Available

  • Penn Prevention (Site ID: 30310)

    Philadelphia 4560349, Pennsylvania 6254927 19104
    United States

    Active - Recruiting

  • University of Pittsburgh (Site ID: 1001)

    Pittsburgh 5206379, Pennsylvania 6254927 15213
    United States

    Site Not Available

  • Seattle Vaccine and Prevention (Site ID: 30331)

    Seattle, Washington 98104
    United States

    Site Not Available

  • Seattle Vaccine and Prevention (Site ID: 30331)

    Seattle 5809844, Washington 5815135 98104
    United States

    Site Not Available

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