Plain English Summary
Background and study aims
MVA85A is a new vaccine being developed against tuberculosis which is designed to act as a boosting immunisation in people who have already received the Bacillus Calmette-Guerin (BCG) vaccine. MVA85A has been given to several hundred people in whom it has been safe and also able to generate a strong immune response. In this trial MVA85A was tested alongside a second new TB vaccine, FP85A, which had not been given to humans before. We wished to study the safety of FP85A alone and also the safety of using both vaccines one after the other. We also wished to study the immune response generated by these vaccines.
Who can participate?
Healthy BCG-vaccinated adult volunteers aged 18 to 50 were recruited in Oxford, UK.
What does the study involve?
Volunteers were randomly allocated into either the first group who were vaccinated with FP85A alone, the second group who were vaccinated with MVA85A followed by FP85A 28 days later, or the third group who were vaccinated with FP85A followed by MVA85A 28 days later. The dose was the same for all groups. Volunteers were followed-up for 12 months and underwent blood tests at several time-points.
What are the possible benefits and risks of participating?
There are some known side effects of MVA85A. In healthy adults, a standard dose of intradermal MVA85A causes a mild local reaction when injected into the skin. This is visible as redness and swelling of the skin at the injection site, which lasts a week or two before healing completely without a scar. Occasionally the site of injection is also tender for a few days. About half of volunteers also get mild flu-like symptoms (headache, tiredness, aches) following vaccination with MVA85A but these are mild. It is expected that FP85A will cause a similar range of side effects. Severe allergic reactions are rare but could potentially occur with any vaccine. Blood tests are performed throughout the trial but are not usually harmful. Having blood taken may cause slight pain and occasionally bruising at the site where the needle enters. Rarely, people feel light-headed or even faint. There are no known benefits of participating in this research.
Where is the study run from?
The study was run from the University of Oxford (UK).
When is the study starting and how long is it expected to run for?
The study ran from July 2007 to February 2010.
Who is funding the study?
The Wellcome Trust (UK).
Who is the main contact?
Professor Helen McShane, Jenner Institute, University of Oxford.
The safety and immunogenicity of new tuberculosis (TB) vaccine candidates FP85A and MVA85A, in healthy adults who have previously been immunised with Bacillus Calmette-Guerin (BCG), using a prime-boost delivery schedule: a phase I open label study
This is a phase I study whose primary outcome is to assess the safety of a new tuberculosis (TB) vaccine, FP85A, when administered individually and sequentially with MVA85A in a prime-boost regime, to healthy volunteers, who have previously been vaccinated with Bacillus Calmette-Guerin (BCG). The secondary outcome is to assess the cellular immune response in the same population. The trial consists of 36 subjects in three groups. The first group will be vaccinated with FP85A alone, the second group will be vaccinated with MVA85A followed by FP85A 28 days later and the third group will be vaccinated with FP85A followed by MVA85A 28 days later.
Gene Therapy Advisory Committee (GTAC) approved on the 29th March 2007 (ref: GTAC 130; EudraCT No.: 2007-000014-37)
Open label three arm active-controlled phase I study
Primary study design
Secondary study design
Non randomised controlled trial
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
FP85A is a modified fowlpox virus expressing antigen 85A from Mycobacterium tuberculosis. MVA85A is a modified vaccinia virus Ankara expressing antigen 85A from Mycobacterium tuberculosis. Dosing is as follows:
Group 1: 1 dose of FP85A day 0
Group 2: 1 dose of MVA85A day 0; 1 dose of FP85A day 28
Group 3: 1 dose of FP85A day 0; 1 dose of MVA85A day 28
There is no control group.
Total duration of follow-up: 12 months
Primary outcome measures
To assess the safety of a new tuberculosis vaccine, FP85A, when administered individually and sequentially with MVA85A in a prime-boost regime to healthy volunteers, who have previously been vaccinated with BCG. Safety is measured throughout the one year follow up period, but specifically on the following days: 2, 7, 28, 56, 84, 168 and 364. Blood for safety testing is taken at Days 7 and 28.
Secondary outcome measures
To assess the cellular immune response generated by FP85A, when administered individually and sequentially with MVA85A in a prime-boost regime to healthy volunteers, who have previously been vaccinated with BCG. Immunogenicity is measured throughout the one year follow up period, but specifically on the following days: 2, 7, 28, 56, 84, 168 and 364.
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Healthy adult aged 18 to 50 years (male or female)
2. Resident in or near Oxford for the duration of the vaccination study
3. Immunisation with BCG greater than 12 months prior to enrolment in the study
4. Able and willing (in the Investigators opinions) to comply with all study requirements
5. Willing to allow the investigators to discuss the volunteer's medical history with their General Practitioner
6. Agreement to practice barrier contraception from the start of the study until 3 months after the final vaccination
7. For females, a negative pregnancy test on the day of vaccination and agreement to practice effective contraception for the entire duration of the study
8. Agreement to refrain from blood donation during the course of the study
9. Written informed consent
Target number of participants
Participant exclusion criteria
1. Participation in another research study involving an investigational product in the 30 days preceding enrolment, or planned use during the study period
2. Prior receipt of a recombinant MVA or fowlpox vaccine
3. Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate
4. Any confirmed or suspected immunosuppressive or immunodeficient state, including human immunodeficiency virus (HIV) infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed)
5. History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g. egg products
6. Any history of anaphylaxis in reaction to vaccination
7. Close contact with fowl during the study period (e.g. chicken farming)
8. History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
9. History of serious psychiatric condition
10. Any other chronic illness requiring hospital specialist supervision
11. Suspected or known current injecting drug or alcohol abuse (as defined by an alcohol intake of greater than 42 units every week)
12. Seropositive for hepatitis B surface antigen (HBsAg)
13. Seropositive for hepatitis C virus (antibodies to HCV)
14. For females, pregnancy, lactation or willingness/intention to become pregnant during the study
15. Any other significant disease, disorder or finding, which, in the opinion of the Investigators, may either put the volunteer at risk because of participation in the study, or may influence the result of the study, or the volunteer's ability to participate in the study
16. Mantoux skin test equal to or greater than 15 millimetres
17. Screening Elispot positive (greater than 17 sfc/million PBMC) in any ESAT6 peptide or CFP10 peptide pool
18. Any clinically significant abnormal finding on screening biochemistry or haematology blood tests or urinalysis
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
University of Oxford (UK)
Centre of Clinical Vaccinology and Tropical Medicine (CCVTM)
The Wellcome Trust (UK) - Senior Clinical Fellowship Grant (grant ref: 076943)
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
1. 2012 results in http://www.ncbi.nlm.nih.gov/pubmed/22789508
Pathan AA, Minassian AM, Sander CR, Rowland R, Porter DW, Poulton ID, Hill AV, Fletcher HA, McShane H, Effect of vaccine dose on the safety and immunogenicity of a candidate TB vaccine, MVA85A, in BCG vaccinated UK adults., Vaccine, 2012, 30, 38, 5616-5624, doi: 10.1016/j.vaccine.2012.06.084.